Warren J. Degatur Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

017128 Issued in LA

Practice address

206 Champagne Blvd
Suite a
Breaux Bridge, LA 70517-3700

Phone

(337) 332-3500

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Family Practice

Education

Louisiana State University School of Medicine in Shreveport, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fuselier Healthcare Services LLC 2 clinicians

Warren J. Degatur, Jr. MD Inc 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nursing Specialties Home health agency, Lafayette, LA, CCN 197297
• Lakeshore Home Health Home health agency, Breaux Bridge, LA, CCN 197789
• Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
• St. Agnes Healthcare and Rehab Center Nursing home, Breaux Bridge, LA, CCN 195313

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2cb3d6db-a361-49b3-a3c3-68fe3216159f/

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• St Martin Hospital, Inc.

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817

  Corporate Director

  CMS ownership
• St Martin Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Breaux Bridge, LA
  • NPI 1477886141

  Corporate Director

  CMS ownership
• St. Agnes Healthcare & Rehab Center,Inc.

  • Skilled Nursing Facility
  • Breaux Bridge, LA
  • NPI 1942291778

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• St. Martin Hospital, Inc.

  • Rural Health Clinic/Center
  • Breaux Bridge, LA
  • NPI 1407414816

  Corporate Director

  CMS ownership

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.

• Fuselier Healthcare Services, LLC

  • Family Medicine Physician
  • Breaux Bridge, LA
  • NPI 1346018330

  Family Medicine, LA

  Medicare reassignment Care Compare group NPD
• Warren J. Degatur, Jr. MD Inc

  • Family Medicine Physician
  • Breaux Bridge, LA
  • NPI 1568654689

  Family Medicine, LA

  Medicare reassignment Care Compare group NPD
• Hospital Service District No. 2

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1548263262
  NPD (past)
• St. Agnes Healthcare & Rehab Center,Inc.

  • Skilled Nursing Facility
  • Breaux Bridge, LA
  • NPI 1942291778
  NPD (past)

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

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799

  Hospital

  Care Compare affiliation
• Lakeshore Home Health Care, LLC

  • Home Health Agency
  • Breaux Bridge, LA
  • NPI 1396167524
  Care Compare affiliation
• Nsi, Inc.

  • Home Health Agency
  • Lafayette, LA
  • NPI 1528138112
  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495

  Hospital

  Care Compare affiliation
• St Martin Hospital, Inc.

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817

  Hospital

  Care Compare affiliation
• St. Agnes Healthcare & Rehab Center,Inc.

  • Skilled Nursing Facility
  • Breaux Bridge, LA
  • NPI 1942291778

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1720047079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705170335",
            "telephone_number": "337-332-3500",
            "fax_number": "337-332-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CHAMPAGNE BLVD",
            "address_2": "SUITE A",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173700",
            "telephone_number": "337-332-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGATUR",
        "first_name": "WARREN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1344940",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phil J Daigle Jr., RPH
• Deaundra Thomas Davis, RAC
• Francheska Davis
• Joshua Davis
• Benjamin Thomas Degatur, M.D.
• Deidre L Stelly MD Apmllc
• Acea Demouchet
• Denita Marie Derouselle
• Edward Avery Doerle, P.T.
• Lynne Duay, M.A. CCC-SLP

• All providers in Breaux Bridge, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.