Amanda Lynn Callegan-poche', MD | |
1023 Provenance Pl Ste 130, Shreveport, LA 71106-7796 | |
(318) 626-0000 | |
Not Available |
Full Name | Amanda Lynn Callegan-poche' |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 9 Years |
Location | 1023 Provenance Pl Ste 130, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265829394 | NPI | - | NPPES |
2388312 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 312618 (Louisiana) | Secondary |
207R00000X | Internal Medicine | 312618 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospice Of Shreveport, Llc | Sibley, LA | Hospice |
Ochsner Lsu Health Shreveport | Shreveport, LA | Hospital |
Ochsner Lsu Health Shreveport-st Mary Medical Cent | Shreveport, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lsu Health Sciences Center Shreveport Faculty Group Practice | 4082902721 | 534 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
---|---|
Amanda Lynn Callegan-poche', MD 6165 Victoria Ln, Keithville, LA 71047-9144 Ph: (225) 776-6752 | Amanda Lynn Callegan-poche', MD 1023 Provenance Pl Ste 130, Shreveport, LA 71106-7796 Ph: (318) 626-0000 |
Mansi Shah, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, #210, Shreveport, LA 71105 Phone: 318-798-4515 Fax: 318-798-4530 | |
Pratik Agrawal, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Bader Alotaibi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2727 Hearne Ave Ste 301, Shreveport, LA 71103 Phone: 318-631-6400 | |
Paul A Rushing, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4488 Fax: 318-798-4420 | |
Sanjay Jain, Internal Medicine Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101 Phone: 318-221-8411 | |
Steven R Bailey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Venkateswara K Rao, M.D., Internal Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000 |