Dr Clarence E Boudreaux, MD - Medicare Dermatology in Ponte Vedra Beach, FL

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Dr Clarence E Boudreaux, MD is a medicare enrolled "Dermatology" physician in Ponte Vedra Beach, Florida. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1985 and has 39 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Beaches Dermatology, P.a. and his current practice location is 103 Solana Road Suite B, Ponte Vedra Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 273-2717.

Dr Clarence E Boudreaux is licensed to practice in Florida (license number ME0055674) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053366211.

Contact Information

Dr Clarence E Boudreaux, MD
103 Solana Road Suite B,
Ponte Vedra Beach, FL 32082
(904) 273-2717
(904) 273-0410

Map and Direction




Physician's Profile

Full NameDr Clarence E Boudreaux
GenderMale
SpecialityDermatology
Experience39 Years
Location103 Solana Road Suite B, Ponte Vedra Beach, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Clarence E Boudreaux attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1985
  NPI Data:
  • NPI Number: 1053366211
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 01/15/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7618012014
  • Enrollment ID: I20100310000499

Medical Identifiers

Medical identifiers for Dr Clarence E Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053366211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology ME0055674 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Medical Center - NassauFernandina beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beaches Dermatology, P.a.913319054915

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. Dr Clarence E Boudreaux allows following entities to bill medicare on his behalf.
Entity NameBeaches Dermatology, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780627521
PECOS PAC ID: 9133190549
Enrollment ID: O20040802000141

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. Dr Clarence E 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 AddressPractice Location Address
Dr Clarence E Boudreaux, MD
103 Solana Road Suite B,
Ponte Vedra Beach, FL 32082

Ph: (904) 273-2717		Dr Clarence E Boudreaux, MD
103 Solana Road Suite B,
Ponte Vedra Beach, FL 32082

Ph: (904) 273-2717

Reviews and Comments


Dermatology Doctors in Ponte Vedra Beach, FL

Dr. Russell D Metz, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 103 Solana Road Suite B, Ponte Vedra Beach, FL 32082
Phone: 904-273-2717    Fax: 904-273-0410
Morgan Metz,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 103 Solana Rd, Ponte Vedra Beach, FL 32082
Phone: 904-273-2717    
Mark A Cappel, MD
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 100 Executive Way Ste 114, Ponte Vedra Beach, FL 32082
Phone: 904-842-3632    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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