Dr Jessica Marie Boudreaux, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Orleans, Louisiana. Her current practice location is
1542 Tulane Ave., Lsuhsc Dept. Of Psychiatry Room 233, New Orleans, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(504) 568-7912.
Dr Jessica Marie Boudreaux is licensed to practice in Louisiana (license number ) 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 1427381599.
Physician's Profile
Full Name | Dr Jessica Marie Boudreaux |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1542 Tulane Ave., New Orleans, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427381599
- Provider Enumeration Date: 09/08/2009
- Last Update Date: 03/29/2010
Medicare PECOS Information:
- PECOS PAC ID: 7214205368
- Enrollment ID: I20170614002358
Medical Identifiers
Medical identifiers for Dr Jessica Marie Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427381599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | UO2160 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (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. Dr Jessica Marie Boudreaux allows following entities to bill medicare on her behalf.
Entity Name | East Louisiana State Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043206543 PECOS PAC ID: 6002853835 Enrollment ID: O20050413000902 |
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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 Jessica Marie 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 |
Dr Jessica Marie Boudreaux, DO 1542 Tulane Ave., Lsuhsc Dept Of Psychiatry Room 233, New Orleans, LA 70112 Ph: (504) 568-7912 | Dr Jessica Marie Boudreaux, DO 1542 Tulane Ave., Lsuhsc Dept. Of Psychiatry Room 233, New Orleans, LA 70112-0000 Ph: (504) 568-7912 |
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