| Tate James Perque, PA-C | |
|
1453 E Bert Kouns Industrial Loop Ste 318, Shreveport, LA 71105-6810 | |
| (318) 681-1968 | |
| (318) 681-1969 |
| Full Name | Tate James Perque |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 1453 E Bert Kouns Industrial Loop Ste 318, Shreveport, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003125055 | NPI | - | NPPES |
| 2125362 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA.200387 (Louisiana) | Secondary |
| 363A00000X | Physician Assistant | PA200387 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1227 |
| Mailing Address | Practice Location Address |
|---|---|
| Tate James Perque, PA-C 2900 Saint Michael Dr Ste 401, Texarkana, TX 75503-5211 Ph: (903) 614-5368 | Tate James Perque, PA-C 1453 E Bert Kouns Industrial Loop Ste 318, Shreveport, LA 71105-6810 Ph: (318) 681-1968 |
Jennifer B Cypher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Mrs. Kristi Harrison Gaspard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop Ste 106, Shreveport, LA 71118 Phone: 318-798-9881 | |
Susan Lenora Steen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Neurosurgery, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819 | |
Jeanette Catherine Pang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7925 Youree Dr Ste 200, Shreveport, LA 71105 Phone: 318-212-3610 Fax: 318-212-3709 | |
Dakota Shayne Barlow, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Carson Shetley Holtzclaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6841 Fern Ave Ste 100, Shreveport, LA 71105 Phone: 318-868-2273 Fax: 318-868-4219 |