Jason P Hagen (NPI# 1093008401, PAC ID# 9032369830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093008401 |
| PAC ID by PECOS | 9032369830 |
| Professional Enrollment ID | I20121031000505 |
| Full Name | Jason P Hagen |
| Organization Legal Name | LCMS REHABILITATION INSTITUTE OF SOUTHWEST LOUISIANA |
| Address |
2829 4th Ave Suite 150 Lake Charles LA 70601-7897 |
| Phone Number | 3374777091 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012061930 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190060 | LAKE CHARLES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 | 3374777091 | LCMS REHABILITATION INSTITUTE OF SOUTHWEST LOUISIANA |
| Organization Legal Name | LCMS REHABILITATION INSTITUTE OF SOUTHWEST LOUISIANA |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Spallino Duplechain | Nurse Practitioner | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Lacey Vasilakis | Nurse Practitioner | Lcms Rehabilitation Institute of Southwest Louisiana | 1000 Walters St, Lcms Rehabilitation Institute of Sw, Lake Charles, LA 70607-4647 |
| Damika Renee Harmon | Nurse Practitioner | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Kayla Sanner Nordstrom | Nurse Practitioner | Lcms Rehabilitation Institute of Southwest Louisiana | 1000 Walters St, Lcms Rehabilitation Institute of Sw, Lake Charles, LA 70607-4647 |
| Mary Hollingsworth Sherk | Family Medicine | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Carlos M Choucino | Infectious Disease | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Muhammad Shaikh | Internal Medicine | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Mohammad S Sarwar | Internal Medicine | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Ping Kok Lie | Internal Medicine | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Kimberly Margaret Lefrere | Nurse Practitioner | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Street Address |
2829 4TH AVE SUITE 150 |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70601-7897 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Spallino Duplechain | Nurse Practitioner | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Lloyd Kelley | Clinical Social Worker | Institute for Neuropsychiatry Apmc | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Damika Renee Harmon | Nurse Practitioner | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Michael B Wright | Psychiatry | Institute for Neuropsychiatry Apmc | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Mary Hollingsworth Sherk | Family Medicine | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Carlos M Choucino | Infectious Disease | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Muhammad Shaikh | Internal Medicine | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Mohammad S Sarwar | Internal Medicine | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Ping Kok Lie | Internal Medicine | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Kimberly Margaret Lefrere | Nurse Practitioner | Lcms Rehabilitation Institute of Southwest Louisiana | 2829 4th Ave, Suite 150, Lake Charles, LA 70601-7897 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nauman Qureshi | Internal Medicine | 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601 | |
| Peter W Karam | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Amanda V Burnett | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Jennifer Taylor Graham | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Susan B Bourgeois Ieyoub | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Haley Angelle Landry | Nurse Practitioner | Lcms Pulmonary Associates of Southwest Louisiana | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Karie Joy Savoy | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Ronald M Lewis Jr. | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Brian D Clements | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Cristian Romero | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Find all physicians in zip 70601 | |||
| City | LAKE CHARLES |
| Zip Code | 70601 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKE CHARLES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jason P Hagen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.