Individual provider Active NPI

Lesley Marie Dubuc, PA

  • Physician Assistant
  • Covington, LA
National Provider Identifier
1184153595
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
305430 Issued in LA
Practice address
101 Judge Tanner Blvd Ste 506
Covington, LA 70433-7506
Phone
(985) 867-2131
Fax
(985) 867-2132
NPI assigned
Jun 8, 2017
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 305430 LA Primary

Addresses

Primary practice location

101 Judge Tanner Blvd Ste 506
Covington, LA 70433-7506

Mailing address

901 Gause Blvd FL 2
Slidell, LA 70458-2948
Phone (985) 649-2700

Other names 1

  • Lesley Marie Arhary Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220405000212 LA Practitioner - Physician Assistant 4385030113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4320 Houma Blvd
FL 6
Metairie, LA 70006-2961
Phone (504) 503-4109

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Mar 1, 2023 Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 106
Covington, LA 70433
Phone (985) 867-2128

101 Judge Tanner Blvd
Ste 506
Covington, LA 70433
Phone (985) 273-3035

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1184153595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GAUSE BLVD FL 2",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582948",
            "telephone_number": "985-649-2700",
            "fax_number": "985-649-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JUDGE TANNER BLVD STE 506",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337506",
            "telephone_number": "985-867-2131",
            "fax_number": "985-867-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBUC",
        "first_name": "LESLEY",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "305430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "ARHARY",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.