Jessica Brianne Dettman, PA
NPI 1306331814ActiveIndividual· Physician Assistant· Gonzales, LA
Physician Assistant (PA) with Pcp Urgent Care Holdings LLC, practicing in Gonzales, Louisiana. 45 Medicare patients in 2024, $3,377 paid; nearly all of their 215 Part D prescriptions were generic (98%).
Overview
| NPI | 1306331814 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 27, 2018 |
| Last updated in NPPES | Feb 21, 2020 |
| Certified by provider | Feb 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 121 across 16 procedure codes |
| Paid by Medicare | $3,377 |
Part D prescriptions in 2024
| Prescriptions (claims) | 215 · 216 30-day fills |
|---|---|
| Patients | 154 |
| Total drug cost | $1,774 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Pcp Urgent Care Holdings LLCBaton Rouge, LA · 49 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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