Shane Paul Prejean, M.D.

Primary specialty

Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X

License

206244 Issued in LA

Practice address

225 Dunn St
Houma, LA 70360-4440

Phone

(985) 876-0300

Fax

(985) 876-5529

NPI assigned

Mar 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, MS, AL4 enrollments

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 4

Specialty

Cardiovascular Disease (Cardiology)

Education

Louisiana State University School of Medicine in New Orleans, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
• Lady of the Sea General Hospital Hospital, Cut Off, LA, CCN 191325
• Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324
• Ochsner St Mary Hospital, Morgan City, LA, CCN 190014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sprejean155129@direct.ochsner.org

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.

• Physician Practice Partners

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1326598434
  Medicare reassignment Care Compare group NPD
• Cardiovascular Institute of the South, LLC

  • Cardiovascular Disease Physician
  • Houma, LA
  • NPI 1982689113

  MS

  Medicare reassignment Care Compare group
• Lafayette General Medical Center Inc.

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1649408832
  Medicare reassignment NPD
• Lsuhn Billing LLC

  • Multi-Specialty Clinic/Center
  • Lafayette, LA
  • NPI 1992975775
  Medicare reassignment NPD
• Thibodaux Regional Network Development Corporation

  • Anesthesiology Physician
  • Thibodaux, LA
  • NPI 1285658310
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Lafayette General Medical Center Inc

  • Specialist
  • Lafayette, LA
  • NPI 1518577030
  NPD
• Lafayette General Medical Center Inc.

  • Community/Retail Pharmacy
  • Lafayette, LA
  • NPI 1023638715
  NPD
• Lsuhn Billing LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Baton Rouge, LA
  • NPI 1306247556
  NPD
• Thibodaux Regional Network Development Corporation

  • Clinical Cardiac Electrophysiology Physician
  • Thibodaux, LA
  • NPI 1770435851
  NPD
• Thibodaux Regional Network Development Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Thibodaux, LA
  • NPI 1851532964

  Cardiovascular Disease

  NPD
• Lsuhn Billing LLC

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1669648564
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafourche Parish Hospital Service District No.1

  • Critical Access Hospital
  • Cut Off, LA
  • NPI 1407883341
  Care Compare affiliation
• Ochsner Bayou LLC

  • Critical Access Hospital
  • Raceland, LA
  • NPI 1396761805
  Care Compare affiliation
• Ochsner Morgan City LLC

  • General Acute Care Hospital
  • Morgan City, LA
  • NPI 1205482023
  Care Compare affiliation
• Terrebonne Parish Hospital Service District #1

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109
  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1609141985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604440",
            "telephone_number": "985-876-0300",
            "fax_number": "985-876-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604440",
            "telephone_number": "985-876-0300",
            "fax_number": "985-876-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREJEAN",
        "first_name": "SHANE",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.35013",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.206244",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "206244",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "MD.35013",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "206244",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "LA",
            "license": "206244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Powell, PA
• Preferred Health & Wellness, LLC
• Ashley Joseph Prejean, MD
• Cody James Prejean
• Michael A Prejean, MD
• Stacie Prejean
• Susan Prejeant, NP
• Premier OBGYN Specialists, LLC
• Darrell Paul Prestenbach, FNP
• Preventive Health &Wellness Center

• Advanced Heart Failure and Transplant Cardiology Physician in Houma, LA
• Providers in Houma, LA by specialty
• Advanced Heart Failure and Transplant Cardiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.

Verify at the official NPI Registry.