John G Boulet, MD | |
101 Sivley Rd Sw, Em Dept, Huntsville, AL 35801-4421 | |
(256) 265-9905 | |
(256) 265-9910 |
Full Name | John G Boulet |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 101 Sivley Rd Sw, Huntsville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669436796 | NPI | - | NPPES |
051558705 | Medicaid | AL | |
4134776 | Other | AL | AETNA |
009943232 | Medicaid | AL | |
051004447 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD.27888 (Alabama) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | G3171 (Texas) | Secondary |
Entity Name | Emergency Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395 |
Mailing Address | Practice Location Address |
---|---|
John G Boulet, MD Po Box 11407, Drawer 0314, Birmingham, AL 35246-0314 Ph: (405) 751-4664 | John G Boulet, MD 101 Sivley Rd Sw, Em Dept, Huntsville, AL 35801-4421 Ph: (256) 265-9905 |
Daniel Thomas Neuberger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-9889 | |
Daniel M Andress, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Sivley Rd Sw, Em Dept, Huntsville, AL 35801 Phone: 256-265-9905 Fax: 256-265-9910 | |
Russell A Simpson Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr Sw, Huntsville, AL 35801 Phone: 256-880-4177 Fax: 256-880-4507 | |
Christie L. Jones, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Sivley Rd, Huntsville, AL 35801 Phone: 256-265-1000 | |
Matthew David Nicholls, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-1000 | |
Paula C Belew, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-9905 Fax: 256-265-9910 | |
John W Bowman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr Sw, Huntsville, AL 35801 Phone: 256-880-4177 Fax: 256-880-4507 |