Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Beth Fruge, PA-C

Individual provider Physician Assistant · NPI 1497034623

Mary Beth Fruge, PA-C is a Physician Assistant in Lafayette, Louisiana. Qualified in 2011, 15 years ago. Practices with Lourdes Physician Group LLC, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
15
Licensed in
LA
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone: (337) 470-2605
Fax: (337) 470-4595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2967 S Union St, Opelousas, LA 70570-5740 — (337) 594-8958

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.200467 (LA)

Record details

NPI number1497034623
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 4, 2011
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lourdes Physician Group Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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