Active NPI
Jacqueline Marie Magne, M.D.
- Otolaryngology Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD.205212
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1925578 | Medicaid | LA |
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
Enrollment records 1
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.205212 | LA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Worley Magne | Otolaryngology | Past | 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.
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Otolaryngology Physician
- New Orleans, LA
- NPI 1457528168
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.