Richard Anthony Boada, MD | |
3118 E 10th St Ste B, Jeffersonville, IN 47130-5904 | |
(812) 285-4585 | |
(812) 284-2798 |
Full Name | Richard Anthony Boada |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3118 E 10th St Ste B, Jeffersonville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891870218 | NPI | - | NPPES |
IN4465001 | Other | IN | MEDICARE |
200209820 | Medicaid | IN | |
64324197 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01050219A (Indiana) | Primary |
208000000X | Pediatrics | 32419 (Kentucky) | Secondary |
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437382074 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
Entity Name | Norton Childrens Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326695255 PECOS PAC ID: 3779917596 Enrollment ID: O20200309001084 |
Mailing Address | Practice Location Address |
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Richard Anthony Boada, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Richard Anthony Boada, MD 3118 E 10th St Ste B, Jeffersonville, IN 47130-5904 Ph: (812) 285-4585 |
Dr. Terri L Joliet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 Spring St, Suite A, Jeffersonville, IN 47130 Phone: 812-282-1367 Fax: 812-284-8377 | |
Dr. Sandra Kay Hensley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1730 Williamsburg Dr Ste 3, Jeffersonville, IN 47130 Phone: 812-246-0705 Fax: 812-246-0710 | |
Miss Carrie Ann Crigger, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 207 Sparks Ave, Suite 403, Jeffersonville, IN 47130 Phone: 812-288-9141 Fax: 812-288-1023 | |
Jeb S Teichman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 207 Sparks Avenue, Ste 403, Jeffersonville, IN 47130 Phone: 812-288-9141 Fax: 812-288-1023 | |
James Patrick Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3118 E 10th St, Ste B, Jeffersonville, IN 47130 Phone: 812-285-4585 Fax: 812-284-2798 | |
Ms. Genevieve Abueg Carnero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 Spring St, Jeffersonville, IN 47130 Phone: 812-282-1367 | |
Mary Hayman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 Spring St, Suite A., Jeffersonville, IN 47130 Phone: 812-282-1367 Fax: 812-284-8377 |