Mr Shannon Christopher Boudreaux, MD | |
5151 N 9th Ave, Pensacola, FL 32504-8721 | |
(850) 416-7710 | |
(850) 416-7677 |
Full Name | Mr Shannon Christopher Boudreaux |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 5151 N 9th Ave, Pensacola, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245285824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME95353 (Florida) | Primary |
208000000X | Pediatrics | ME95353 (Florida) | Secondary |
Entity Name | Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215948096 PECOS PAC ID: 6608854765 Enrollment ID: O20040713001524 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198 |
Mailing Address | Practice Location Address |
---|---|
Mr Shannon Christopher Boudreaux, MD 14516 Lake Town Dr, Baton Rouge, LA 70810 Ph: (850) 261-9939 | Mr Shannon Christopher Boudreaux, MD 5151 N 9th Ave, Pensacola, FL 32504-8721 Ph: (850) 416-7710 |
Gary D Wright, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5151 N 9th Ave, Er, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-475-4781 | |
Dr. Richard Slevinski, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-6670 Fax: 850-416-4694 | |
Ellen B Rodman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave # Er, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-475-4781 | |
Dr. John L Reese, M. D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-4000 | |
Stephen Rohl, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-7000 | |
Dr. Timothy A Rak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-6670 Fax: 850-416-4694 | |
Luis F Camero, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave # Er, Pensacola, FL 32504 Phone: 850-416-7000 Fax: 850-475-4781 |