| Mrs Tess Dowdle Cooley, PHYSICIAN ASSISTANT | |
|
301 W Fertitta Blvd Ste 1, Leesville, LA 71446-4665 | |
| (337) 238-0167 | |
| (337) 238-0574 |
| Full Name | Mrs Tess Dowdle Cooley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 301 W Fertitta Blvd Ste 1, Leesville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063080331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 326425 (Louisiana) | Primary |
| Entity Name | Deer Creek Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902835150 PECOS PAC ID: 1052366341 Enrollment ID: O20050321000045 |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tess Dowdle Cooley, PHYSICIAN ASSISTANT 301 W Fertitta Blvd Ste 1, Leesville, LA 71446-4665 Ph: (337) 238-0167 | Mrs Tess Dowdle Cooley, PHYSICIAN ASSISTANT 301 W Fertitta Blvd Ste 1, Leesville, LA 71446-4665 Ph: (337) 238-0167 |
Christopher Thomas Butler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 802 S 10th St, Suite C, Leesville, LA 71446 Phone: 337-239-2077 Fax: 337-239-2583 |
Daniel K Crook, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1106 Port Arthur Ter, Leesville, LA 71446 Phone: 337-404-4075 Fax: 337-446-2548 |
Mrs. Dawn Cheatham Lemieux, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1201 W Fertitta Blvd, Leesville, LA 71446 Phone: 337-238-0620 Fax: 337-238-0530 |
Rachael Garrison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1020 W Fertitta Blvd, Leesville, LA 71446 Phone: 337-239-9041 |
Kaitlyn P Briscoe, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 500 S 6th St Ste A, Leesville, LA 71446 Phone: 337-239-8000 Fax: 337-239-8003 |
Callie Michelle Detz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1106 Port Arthur Ter, Leesville, LA 71446 Phone: 337-404-4075 |