Individual provider Active NPI

Jacqueline Marie Magne, M.D.

  • Otolaryngology Physician
  • New Orleans, LA
National Provider Identifier
1306070198
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD.205212 Issued in LA
Practice address
3525 Prytania St
Suite 606
New Orleans, LA 70115-8109
Phone
(504) 899-1513
Fax
(504) 897-8637
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD.205212 LA Primary

Addresses

Primary practice location

3525 Prytania St
Suite 606
New Orleans, LA 70115-8109

Mailing address

3525 Prytania St
Suite 606
New Orleans, LA 70115-8109
Phone (504) 899-1513

Other identifiers 1

IdentifierTypeStateIssuer
1925578MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140609001535 LA Practitioner - Otolaryngology 3375767551 Reassigns benefits to 1 organization
Practice locations: Metairie, LA; New Orleans, LA

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tulane University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3525 Prytania St
Suite 606
New Orleans, LA 70115-8109
Phone (504) 899-1513

4224 Houma Blvd
Metairie, LA 70006-2939
Phone (504) 456-4120

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.205212LAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Feb 13, 2018 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Feb 13, 2018 Accepting new patients
Worley Magne Otolaryngology PastSince Jan 19, 2025 Accepting new patients

Locations

4224 Houma Blvd
Ste 640
Metairie, LA 70006
Phone (504) 456-5120

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1306070198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 606",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701158109",
            "telephone_number": "504-899-1513",
            "fax_number": "504-897-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 606",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701158109",
            "telephone_number": "504-899-1513",
            "fax_number": "504-897-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNE",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "MD.205212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1925578",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.