Jaclyn Boulais, MD in Boston, MA - Medicare Pediatrics

Jaclyn Boulais, MD is a medicare enrolled "Pediatrics" physician in Boston, Massachusetts. Her current practice location is 800 Washington St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 636-5322.

Jaclyn Boulais is licensed to practice in Massachusetts (license number 253867) 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 1750602496.

Contact Information

	Jaclyn Boulais, MD
	800 Washington St, Boston, MA 02111-1552
	(617) 636-5322
	Not Available

Map and Direction

Physician's Profile

Full Name	Jaclyn Boulais
Gender	Female
Speciality	Pediatrics
Location	800 Washington St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750602496
Provider Enumeration Date: 06/17/2010
Last Update Date: 01/20/2016

Medicare PECOS Information:

PECOS PAC ID: 8921233685
Enrollment ID: I20131105000807

Medical Identifiers

Medical identifiers for Jaclyn Boulais such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750602496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	253867 (Massachusetts)	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. Jaclyn Boulais allows following entities to bill medicare on her behalf.

Entity Name	Signature Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372

Entity Name	Pratt Pediatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127

Entity Name	Physicians Of Cape Cod Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679832364 PECOS PAC ID: 9638326671 Enrollment ID: O20120828000193

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. Jaclyn Boulais 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
Jaclyn Boulais, MD 171 South St, Unit 6a, Jamaica Plain, MA 02130-3958 Ph: (413) 281-3814	Jaclyn Boulais, MD 800 Washington St, Boston, MA 02111-1552 Ph: (617) 636-5322

Reviews and Comments

Pediatrics Doctors in Boston, MA

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Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066
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Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000

Jaclyn Boulais, MD - Medicare Pediatrics in Boston, MA