Jason Brian Fuqua, M.D.
Individual provider Active NPI Family Medicine Physician · Sulphur, LA
NPI 1700051133 · NPPES record last updated Oct 13, 2012
Key facts
- NPI
- 1700051133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD.201762 (LA)
- Practice address
- 920 1St Ave
Sulphur, LA 70663-3425 - Phone
- (337) 528-7472
- Fax
- (337) 528-7457
- NPI assigned
- Apr 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Calcasieu Cameron Hospital Service District
Practice addresses (Care Compare)
701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 527-6530
Hospital & facility affiliations
- West Calcasieu Cameron Hospital HHA
- Elara Caring
- Heart of Hospice
- West Calcasieu Cameron Hospital
- Dequincy Memorial Hospital
- Lake Charles Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
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 |
|---|---|---|---|---|
| I20090626000017 | LA | Practitioner - Family Practice | 1052462322 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Cameron Hospital Service District | Current |
Accepting new patients | |
| Calcasieu Cameron Hospital Service District | Family Medicine | Current |
Accepting new patients |
| Calcasieu Cameron Hospital Service District | Family Medicine | Past | Accepting new patients |
| Heart of Hospice LLC | Family Medicine | Past | Accepting new patients |
Locations
6240 Gulf Beach Hwy
Cameron, LA 70631
Phone (337) 527-6530
1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762
920 1st Ave
Sulphur, LA 70663
Phone (337) 527-6301
701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270
151 Walker Rd
Sulphur, LA 70665
Phone (337) 528-7472
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.201762 | LA | Yes |
Addresses
Primary practice location
920 1St Ave
Sulphur, LA 70663-3425
Mailing address
920 1St Ave
Sulphur, LA 70663-3425
Phone (337) 528-7472
Other providers in Sulphur, LA
- Kevin Thompson Fortenberry
- Frankie Alisha Coaching and Consulting LLC
- Steven Franks
- Freedom Pharmacy LLC
- Fresenius Medical Care Sulphur, LLC
- Kelly Marie Fuqua
- Kenneth Lane Gary
- Stephanie Ann Gary
- Genoa Healthcare LLC
- Tiffany Kathleen Gibbs
All providers in Sulphur, 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 Oct 13, 2012. 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.