Jacob Damien Leger, MD
Individual provider Active NPI Family Medicine Physician · Lake Charles, LA
NPI 1346701422 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1346701422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 323520 (LA)
- Practice address
- 2750 Aster St.
Lake Charles, LA 70601 - Phone
- (337) 480-8900
- Fax
- (337) 480-8901
- NPI assigned
- Mar 29, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake Charles Medical Services Family Practice Associates, LLC
Practice addresses (Care Compare)
2750 Aster St
Lake Charles, LA 70601-8824
Phone (337) 480-8900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220818002583 | LA | Practitioner - Family Practice | 1759619042 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Charles Medical Services Family Practice Associates, LLC | Family Medicine | Current |
Accepting new patients |
| Allegiance Medical Clinic of Dequincy LLC | Family Medicine | Current |
Accepting new patients |
| Allegiance Medical Clinic of Dequincy LLC | Current | Accepting new patients |
Locations
601 W 4th St
Dequincy, LA 70633
Phone (337) 786-6161
1890 W Gauthier Rd
Ste 155
Lake Charles, LA 70605
Phone (337) 477-6061
2750 Aster St
Lake Charles, LA 70601
Phone (337) 478-2650
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 323520 | LA | Yes |
Addresses
Primary practice location
2750 Aster St.
Lake Charles, LA 70601
Mailing address
PO Box 122539 Dept 2539
Dallas, TX 75312-0001
Phone (337) 494-2921
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2496336 | Medicaid | LA |
Other providers in Lake Charles, LA
- Tamela L Lee
- Taylor Lee
- Won S Lee
- Troy Michael Lefort
- Kimberly Lefrere
- Jennifer Lynn Leger
- Lee Allen Leger Jr.
- Noelle R Leger
- Paul Joseph Leger
- Tressa D Leger
All providers in Lake Charles, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.