Alison Ann Boudreaux, MD | |
2625 Fair Oaks Blvd, Suite 1, Sacramento, CA 95864-4936 | |
(916) 646-3376 | |
(916) 646-3336 |
Full Name | Alison Ann Boudreaux |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 33 Years |
Location | 2625 Fair Oaks Blvd, Sacramento, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093782120 | NPI | - | NPPES |
43-2054849 | Other | CA | TAX ID |
G076779 | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G076779 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Golden State Dermatology Associates, Inc. | 1052418175 | 89 |
Entity Name | Jacqueline Calkin Md & Alison Boudreaux Md, A Professional Medical Cor |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659408771 PECOS PAC ID: 7810958121 Enrollment ID: O20041020000870 |
Entity Name | Golden State Dermatology Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605 |
Mailing Address | Practice Location Address |
---|---|
Alison Ann Boudreaux, MD 2625 Fair Oaks Blvd, Suite 1, Sacramento, CA 95864-4936 Ph: (916) 646-3376 | Alison Ann Boudreaux, MD 2625 Fair Oaks Blvd, Suite 1, Sacramento, CA 95864-4936 Ph: (916) 646-3376 |
Dr. Chai Sue Lee, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3301 C St, Ste. 1300, Sacramento, CA 95816 Phone: 916-734-6111 | |
Thomas A. Giustina, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 | |
Jennifer Ornelas, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1495 River Park Dr Ste 200, Sacramento, CA 95815 Phone: 916-925-7020 Fax: 916-925-3680 | |
Dr. Emil Anthony Tanghetti, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5601 J St, Sacramento, CA 95819 Phone: 916-454-5922 Fax: 916-454-2156 | |
Sheila M Braunstein, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1 Scripps Dr, Suite 300, Sacramento, CA 95825 Phone: 916-920-0871 Fax: 916-920-0860 | |
Dr. Danielle Marie Tartar, MD,PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3301 C Street, Suite 1400, Sacramento, CA 95816 Phone: 916-734-6055 | |
Elyn V Bowers, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3000 Q St Fl 3, Sacramento, CA 95816 Phone: 916-733-3304 Fax: 916-733-3436 |