Dr Jason P Hagen, MD | |
1000 Walters St, Lake Charles, LA 70607-4647 | |
(337) 480-8066 | |
(337) 480-8061 |
Full Name | Dr Jason P Hagen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 1000 Walters St, Lake Charles, 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 |
---|---|---|---|
1093008401 | NPI | - | NPPES |
2150383 | Medicaid | LA | |
MD.205679 | Other | LA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD205679 (Louisiana) | Primary |
261QP2300X | Clinic/center - Primary Care | 205679 (Louisiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Emergency Medicine Management -- Lake Charles Llc | 7012131378 | 11 |
Entity Name | Lcms Rehabilitation Institute Of Southwest Louisiana |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215161922 PECOS PAC ID: 7012061930 Enrollment ID: O20090812000167 |
Entity Name | Professional Emergency Medicine Management -- Lake Charles Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
Entity Name | South Central Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20191022002061 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason P Hagen, MD Po Box 122108 Dept 2108, Dallas, TX 75312-0001 Ph: (337) 494-2921 | Dr Jason P Hagen, MD 1000 Walters St, Lake Charles, LA 70607-4647 Ph: (337) 480-8066 |
Dr. Benjamin Bryce Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 771 E Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-433-1212 Fax: 337-433-0736 | |
Dr. Michael Kevin Seep, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Dr. Melissa Lalande Rasberry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 W Sale Rd, Bldg F, Suite 2, Lake Charles, LA 70605 Phone: 337-474-2856 Fax: 337-480-0645 | |
Micah Leleux, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 Sam Houston Jones Pkwy Ste 104, Lake Charles, LA 70611 Phone: 337-480-8989 Fax: 337-480-8988 | |
Kira Racine Groves, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Clint Nickolas Lincoln, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10071 Gulf Hwy, Lake Charles, LA 70607 Phone: 337-905-2151 Fax: 337-905-2154 |