Jessica Babineaux, M.D.
Individual provider Active NPI Specialist · Baton Rouge, LA
NPI 1497940209 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1497940209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 199992 (LA)
- Practice address
- 9456 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2883 - Phone
- (225) 325-3596
- Fax
- (225) 224-6241
- NPI assigned
- Sep 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Louisiana State University School of Medicine in New Orleans, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neuro Diagnostic Monitoring, LLC
Practice addresses (Care Compare)
106 Amaryllis Dr
Lafayette, LA 70503-3215
Phone (337) 406-0883
Hospital & facility affiliations
- Christus Ochsner St Patrick Hospital
- Lake Charles Memorial Hospital
- Ochsner Lafayette General Medical Center
- Avala
- Christus Ochsner Lake Area Hospital
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 |
|---|---|---|---|---|
| I20071029000601 | LA | Practitioner - Physical Medicine and Rehabilitation |
5698862274 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199992 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Diagnostic Monitoring, LLC | Specialist | Current |
Accepting new patients |
| Neuromedical Center | Specialist | Past | Accepting new patients |
| Quantum Laboratories LLC | Past | Accepting new patients |
Locations
106 Amaryllis Dr
Lafayette, LA 70503
Phone (337) 406-0883
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 199992 | LA | Yes |
Addresses
Primary practice location
9456 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2883
Mailing address
9456 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2883
Phone (225) 325-3596
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. 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.