Brandi Boudreaux, LDN, RD in Lafayette, LA - Medicare Dietitian, Registered Provider

Brandi Boudreaux, LDN, RD is a medicare enrolled "Dietitian, Registered" provider in Lafayette, Louisiana. Her current practice location is 4801 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 470-2000.

Brandi Boudreaux is licensed to practice in Louisiana (license number 1668) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558564948.

Contact Information

	Brandi Boudreaux, LDN, RD
	4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917
	(337) 470-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandi Boudreaux
Gender	Female
Speciality	Dietitian, Registered
Location	4801 Ambassador Caffery Pkwy, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558564948
Provider Enumeration Date: 06/06/2007
Last Update Date: 06/02/2016

Medicare PECOS Information:

PECOS PAC ID: 1759482730
Enrollment ID: I20070720000189

Medical Identifiers

Medical identifiers for Brandi Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558564948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1668 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brandi Boudreaux allows following entities to bill medicare on her behalf.

Provider Name	My Food Coach
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255633228 PECOS PAC ID: 5395927123 Enrollment ID: O20110315000595

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandi Boudreaux is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brandi Boudreaux, LDN, RD 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 Ph: (337) 470-2000	Brandi Boudreaux, LDN, RD 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 Ph: (337) 470-2000

Reviews and Comments

Dietitian, Registered in Lafayette, LA

Alicia Ruddock Rourk, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6113 Fax: 337-261-6660
Miss Carmen Alexis Miller, MS, RDN, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508 Phone: 337-470-7870
Desiree Kern, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 213 Rue Fontaine, Lafayette, LA 70508 Phone: 337-269-9777
C Taylor Nutrition Therapy Dietitian Medicare: Medicare Enrolled Practice Location: 211 Bon Mange Cir, Lafayette, LA 70506 Phone: 337-739-9456
Mrs. Jessica Person Eckert, MPH, LDN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 209 Marquette Dr, Lafayette, LA 70503 Phone: 337-296-2640
Mrs. Shellie Johnson Dore, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6113 Fax: 337-261-6660
Mrs. Amy Staggs, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 W Farrel Rd Ste 101, Lafayette, LA 70508 Phone: 337-534-1740 Fax: 337-534-0376

Brandi Boudreaux, LDN, RD - Medicare Dietitian in Lafayette, LA