Dr John Philip Boudreaux, MD | |
200 W Esplanade Ave, Suite 200, Kenner, LA 70065-2489 | |
(504) 464-8500 | |
(504) 464-8525 |
Full Name | Dr John Philip Boudreaux |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 46 Years |
Location | 200 W Esplanade Ave, Kenner, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407879455 | NPI | - | NPPES |
009932965 | Medicaid | AL | |
08658853 | Medicaid | MS | |
1337561 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 014711 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tulane Medical Center | New orleans, LA | Hospital |
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Omega Hospital, Llc | Metairie, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisiana State University School Of Medicine In New Orleans Faculty G | 0244136448 | 381 |
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
Mailing Address | Practice Location Address |
---|---|
Dr John Philip Boudreaux, MD 200 W Esplanade Ave, Suite 200, Kenner, LA 70065-2489 Ph: (504) 464-8500 | Dr John Philip Boudreaux, MD 200 W Esplanade Ave, Suite 200, Kenner, LA 70065-2489 Ph: (504) 464-8500 |
Dr. Wagih R Mando, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Esplanade Ave, Suite 410, Kenner, LA 70065 Phone: 504-464-8619 Fax: 504-464-4876 | |
Ramcharan Thiagarajan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Ste 200, Kenner, LA 70065 Phone: 504-464-8701 Fax: 504-464-8525 | |
Dr. Eugene Anthony Woltering, MD Surgery Medicare: Medicare Enrolled Practice Location: 200 W Esplanade Ave, Sutie 200, Kenner, LA 70065 Phone: 504-464-8500 Fax: 504-646-8525 | |
Dr. Mohammad S. Suleman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Ste 312, Kenner, LA 70065 Phone: 504-712-8872 Fax: 504-712-8879 | |
Clint Sumbera Schoolfield Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave Ste 401, Kenner, LA 70065 Phone: 504-464-8588 |