Dr Jeffery Leroy Bouadou, MD - Medicare Hospitalist in Dalton, GA

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Dr Jeffery Leroy Bouadou, MD is a medicare enrolled "Hospitalist" physician in Dalton, Georgia. His current practice location is 1200 Memorial Dr, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 217-2207.

Dr Jeffery Leroy Bouadou is licensed to practice in Georgia (license number 071932) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114218633.

Contact Information

Dr Jeffery Leroy Bouadou, MD
1200 Memorial Dr,
Dalton, GA 30720-2529
(706) 217-2207
Not Available

Map and Direction




Physician's Profile

Full NameDr Jeffery Leroy Bouadou
GenderMale
SpecialityHospitalist
Location1200 Memorial Dr, Dalton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114218633
  • Provider Enumeration Date: 05/02/2011
  • Last Update Date: 01/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961628052
  • Enrollment ID: I20140725001468

Medical Identifiers

Medical identifiers for Dr Jeffery Leroy Bouadou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114218633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 071932 (Georgia)Secondary
208M00000XHospitalist 071932 (Georgia)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. Dr Jeffery Leroy Bouadou allows following entities to bill medicare on his behalf.
Entity NameHamilton Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528056066
PECOS PAC ID: 0446151179
Enrollment ID: O20040116000053
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370
Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20060419000545
Entity NameApogee Medical Group Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629025143
PECOS PAC ID: 4587676945
Enrollment ID: O20060629000214

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 Jeffery Leroy Bouadou 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 Jeffery Leroy Bouadou, MD
316 N Broad St,
Winder, GA 30680-2150

Ph: (770) 867-3400		Dr Jeffery Leroy Bouadou, MD
1200 Memorial Dr,
Dalton, GA 30720-2529

Ph: (706) 217-2207

Reviews and Comments


Hospitalist Doctors in Dalton, GA

Dr. James C Blackwell, M.D.
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1432 Broadrick Dr, Dalton, GA 30720
Phone: 706-226-8990    Fax: 706-529-5313
Dr. Christopher Brian Delashmitt, D.O.
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1200 Memorial Dr, Hospitalist Department, Dalton, GA 30720
Phone: 706-272-6876    
Deepu Daniel, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Memorial Dr, Dalton, GA 30720
Phone: 706-281-5608    
Farwa Hameed,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1115 Professional Blvd, Dalton, GA 30720
Phone: 706-226-4642    
Dr. Seth T Wagner, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1114 Professional Blvd, Dalton, GA 30720
Phone: 706-278-0138    Fax: 706-272-3780
Windsor Pamphile, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Memorial Dr, Dalton, GA 30720
Phone: 706-272-6876    Fax: 706-272-6877

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.