Individual provider Active NPI

Morgan Prejean, PA-C

  • Medical Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1699382176
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
324529 Issued in LA
Practice address
11445 Coursey Blvd Ste L
Baton Rouge, LA 70816-0411
Phone
(225) 273-8988
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 324529 LA Primary

Addresses

Primary practice location

11445 Coursey Blvd Ste L
Baton Rouge, LA 70816-0411

Mailing address

38200 S Lakeview Dr
Prairieville, LA 70769-8300
Phone (225) 276-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214000690 TX Practitioner - Physician Assistant 5193118263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitality Weight Loss and Wellness Institute PLLCGroup PAC ID 0345530333, 6 clinicians

Practice addresses (Care Compare)

6201 Dallas Pkwy
Suite 210
Plano, TX 75024-4181
Phone (972) 737-3296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
324529LAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: morgan.lynn.prejean.1@15881.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1699382176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38200 S LAKEVIEW DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707698300",
            "telephone_number": "225-276-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11445 COURSEY BLVD STE L",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160411",
            "telephone_number": "225-273-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREJEAN",
        "first_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "324529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.