Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason P Hagen, MD

Individual provider Family Medicine Physician · NPI 1093008401

Dr. Jason P Hagen, MD is a Family Practice in Lake Charles, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2011, 15 years ago. Practices with Professional Emergency Medicine Management -- Lake Charles LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
15
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Walters St
Lake Charles, LA 70607-4647
Phone: (337) 480-8066
Fax: (337) 480-8061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD205679 (LA)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 205679 (LA)

Record details

NPI number1093008401
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2011
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2011 (15 years in practice)
Group practice Professional Emergency Medicine Management -- Lake Charles Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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