Jason M. Scioneaux, NP
Individual provider Active NPI Primary Care Nurse Practitioner · Pierre Part, LA
NPI 1861728503 · NPPES record last updated Jun 20, 2022
Key facts
- NPI
- 1861728503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 05855 (LA)
- Practice address
- 3617 Highway 70 S
Pierre Part, LA 70339-4455 - Phone
- (985) 252-0005
- Fax
- (985) 252-0006
- NPI assigned
- Nov 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Teche Action Board Inc
Practice addresses (Care Compare)
1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550
Hospital & facility affiliations
- Vitalcaring Group
- Ochsner St Mary
- Thibodaux Regional Medical Center
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101104000557 | LA | Practitioner - Nurse Practitioner | 6406040351 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05855 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teche Action Board, Inc. | Current |
Accepting new patients | |
| Teche Action Board, Inc. | Current |
Accepting new patients | |
| St Mary Emergency Group LLC | Nurse Practitioner | Current |
Accepting new patients |
| Teche Action Board Inc | Current | Accepting new patients | |
| Teche Action Board, Inc. | Past | Accepting new patients | |
| Teche Action Board Inc | Past | Accepting new patients | |
| Teche Action Board, Inc. | Past | Accepting new patients | |
| Teche Action Board, Inc. | Past | Accepting new patients | |
| Teche Action Board, Inc. | Past | Accepting new patients | |
| Teche Action Board, Inc. | Past | Accepting new patients |
Locations
18333 Highway 182
Rm 505
Baldwin, LA 70514
Phone (337) 924-9418
159 E 3rd St
Edgard, LA 70049
Phone (985) 497-8726
2555 Highway 18
Edgard, LA 70049
Phone (337) 828-2550
1115 Weber St
Franklin, LA 70538
Phone (337) 828-2550
827 N Pine St
Gramercy, LA 70052
Phone (225) 258-9490
189 Mozart Dr
Houma, LA 70363
Phone (985) 868-3700
1014 W Tunnel Blvd
Houma, LA 70360
Phone (985) 851-1717
5642 W Main St
Houma, LA 70360
Phone (985) 448-3737
393 Greenwood Dr
La Place, LA 70068
Phone (985) 359-6492
1124 7th St
Morgan City, LA 70380
Phone (985) 384-2371
1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434
3528 Highway 70 S
Pierre Part, LA 70339
Phone (985) 252-6211
3617 Highway 70 S
Pierre Part, LA 70339
Phone (504) 252-6211
1709 Ridgefield Rd
Thibodaux, LA 70301
Phone (985) 446-7341
22187 Highway 20
Vacherie, LA 70090
Phone (225) 258-4980
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 05855 | LA | |
| Primary Care Nurse Practitioner | 363LP2300X | 05855 | LA | Yes |
Addresses
Primary practice location
3617 Highway 70 S
Pierre Part, LA 70339-4455
Mailing address
1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2125141 | Medicaid | LA |
Other providers in Pierre Part, LA
- Nagaratna Reddy M.D
- Jennifer F Paine
- Pierre Part Physical Therapy, Inc
- Reddy Family Medical Clinic LLC
- Richard'S Pharmacy
- Teche Action Board Inc
- Thibodaux Regional Network Development Corporation
- Katie Verdin
All providers in Pierre Part, LA · Primary Care Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2022. 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.