Bennett Fontenot, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD.205820 Issued in LA

Practice address

900 E Saint Mary Blvd Ste 104
Lafayette, LA 70503-2378

Phone

(337) 504-3640

NPI assigned

Jun 29, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Louisiana State University School of Medicine in New Orleans, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Lafayette Surgical Specialty Hospital Hospital, Lafayette, LA, CCN 190259

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bennett Boustany Fontenot LLC

  • Plastic and Reconstructive Surgery Physician
  • Lafayette, LA
  • NPI 1770359952
  Medicare reassignment NPD
• Kenneth L. Odinet, Jr., D.D.S., M.D., Apmc

  • Plastic Surgery Physician
  • Lafayette, LA
  • NPI 1881972735
  Medicare reassignment NPD
• Lafayette Health Ventures Inc

  dba dba Family Health Plaza

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1417986092
  Medicare reassignment NPD
• Lsuhn Billing LLC

  • Multi-Specialty Clinic/Center
  • Lafayette, LA
  • NPI 1992975775
  Medicare reassignment NPD
• University Hospital & Clinics, Inc.

  • Anesthesiology Physician
  • Lafayette, LA
  • NPI 1639518087
  Medicare reassignment NPD
• Lsuhn Billing LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Baton Rouge, LA
  • NPI 1306247556
  NPD
• University Hospital & Clinics Inc

  dba University Hospital & Clinics OutPatient Pharmacy

  • Community/Retail Pharmacy
  • Lafayette, LA
  • NPI 1740739044
  NPD
• Kenneth L. Odinet MD, ASC-LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, LA
  • NPI 1427325364
  NPD (past)
• Our Lady of the Lake Physician Group LLC

  dba Our Lady of the Lake Children's Health Developmental Center at McMains

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baton Rouge, LA
  • NPI 1235912502
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• Lafayette Surgical Hospital LLC

  dba Lafayette Surgical Specialty Hospital

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1134222565
  Care Compare affiliation
• Lafayette Surgical Hospital, LLC

  dba Lafayette Surgical Specialty Hospital

  • Specialist
  • Lafayette, LA
  • NPI 1255736492

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033316310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FERNRIDGE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085444",
            "telephone_number": "337-504-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E SAINT MARY BLVD STE 104",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032378",
            "telephone_number": "337-504-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Jonathan Lucas St",
            "address_2": "Suite 418-B",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258900",
            "country_code": "US",
            "telephone_number": "843-792-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "BENNETT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "LL30088",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.205820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2400541",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLASTIC AND RECONSTRUCTIVE SURGERY",
            "identifier": "437739YJRA",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fontenot Medical & Aesthetics (Elle Medical & Aesthetics)
• Andre' Fontenot-Knapp, NURSE PRACTITIONER
• Andrea C Fontenot, LOTR
• Angela Quebedeaux Fontenot, LPC, CRC, LRC
• Angela Renee Fontenot, MSN, APRN, FNP-C
• Christopher James Fontenot, D.O.
• Christopher Paul Fontenot, MD
• Crystal Ardoin Fontenot, NP
• Darian Fontenot, CIT
• Debra G. Fontenot, L.P.T.

• Surgery Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.