Randall C Boudreaux, MD | |
3719 Dauphin St, Springhill Anesthesia Department, Mobile, AL 36608-1753 | |
(251) 342-3000 | |
(251) 342-3043 |
Full Name | Randall C Boudreaux |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 3719 Dauphin St, Mobile, Alabama |
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 |
---|---|---|---|
1033182878 | NPI | - | NPPES |
000058779 | Medicaid | AL | |
105357 | Medicaid | AL | |
CN0216 | Other | AL | MEDICARE TRAVELERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 16510 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Usa Health University Hospital | Mobile, AL | Hospital |
Usa Health Children's & Women's Hospital | Mobile, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Anesthesia, P.c. | 1052213519 | 7 |
Usa Health Anesthesia Billing Services Llc | 1153659123 | 142 |
Entity Name | Coastal Anesthesia, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588637169 PECOS PAC ID: 1052213519 Enrollment ID: O20040123001037 |
Entity Name | Providence Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952390643 PECOS PAC ID: 9830111871 Enrollment ID: O20051219000880 |
Entity Name | Usa Health Anesthesia Billing Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629635818 PECOS PAC ID: 1153659123 Enrollment ID: O20190829000530 |
Mailing Address | Practice Location Address |
---|---|
Randall C Boudreaux, MD Po Box 851417, Mobile, AL 36685-1417 Ph: (251) 342-3000 | Randall C Boudreaux, MD 3719 Dauphin St, Springhill Anesthesia Department, Mobile, AL 36608-1753 Ph: (251) 342-3000 |
Dr. Alexandra Baxter Vanhaneghan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 51 Tacon St Ste D, Mobile, AL 36607 Phone: 205-934-4696 | |
Dr. Casey Alexander Johnson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-435-2400 | |
Patricia K Mugnier, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 800-897-6169 Fax: 800-897-6170 | |
Travis Steven Steinke, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 51 Tacon St Ste D, Mobile, AL 36607 Phone: 251-341-2879 | |
Frances B Thurber, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-432-4497 Fax: 251-432-0577 | |
Cassie Kennedy Burns, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3 Mobile Infirmary Cir Ste 410, Mobile, AL 36607 Phone: 251-435-6850 |