Active NPI
Denise Fournet Prejean, PA-C
- Physician Assistant
- Beaumont, TX
National Provider Identifier
1508021940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00246
- Practice address
- 3560 Delaware St
Suite 502
Beaumont, TX 77706-3067 - Phone
- (409) 899-4472
- Fax
- (409) 899-9795
- NPI assigned
- Jul 24, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00246 | TX | Primary |
Addresses
Primary practice location
3560 Delaware St
Suite 502
Beaumont, TX 77706-3067
Mailing address
3560 Delaware St
Suite 502
Beaumont, TX 77706-3067
Phone (409) 899-4472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00246 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1508021940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST",
"address_2": "SUITE 502",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063067",
"telephone_number": "409-899-4472",
"fax_number": "409-899-9795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST",
"address_2": "SUITE 502",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063067",
"telephone_number": "409-899-4472",
"fax_number": "409-899-9795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREJEAN",
"first_name": "DENISE",
"middle_name": "FOURNET",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.