John Anthony Boudreau, MD | |
1201 S Grand Blvd, Saint Louis, MO 63104-1016 | |
(314) 257-8000 | |
(314) 268-5121 |
Full Name | John Anthony Boudreau |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 24 Years |
Location | 1201 S Grand Blvd, Saint Louis, Missouri |
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 |
---|---|---|---|
1053338640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | D0063481 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Louis University Hospital | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
Entity Name | Ssm Health Care Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
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John Anthony Boudreau, MD 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 Ph: (314) 977-4440 | John Anthony Boudreau, MD 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 257-8000 |
Nathan M Fisher, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 Phone: 314-849-0311 Fax: 314-849-4423 | |
Dr. Wassim Mourad, MD, MHCM Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1008 S Spring Ave Rm 1114, Saint Louis, MO 63110 Phone: 314-977-4102 | |
Dr. David William Barton, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 | |
Dr. Moneer Moustafa Abouljoud, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-2835 | |
Dr. Brian Adams Kelly, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 | |
Thomas John Revak, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110 Phone: 314-977-5350 | |
Dr. Nicholas Andrew Pallotta, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 |