Alexis J Bouras, PA-C is a medicare enrolled "Physician Assistant" in Kirkwood, Missouri. Her current practice location is
816 S Kirkwood Rd Ste 100, Kirkwood, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 686-4990.
Alexis J Bouras is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851043145.
Provider's Profile
Full Name | Alexis J Bouras |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 816 S Kirkwood Rd Ste 100, Kirkwood, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851043145
- Provider Enumeration Date: 01/19/2022
- Last Update Date: 03/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951796341
- Enrollment ID: I20220322001274
Medical Identifiers
Medical identifiers for Alexis J Bouras such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851043145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis J Bouras is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexis J Bouras, PA-C 122 Timka Dr, Ballwin, MO 63011-3741 Ph: (314) 713-8983 | Alexis J Bouras, PA-C 816 S Kirkwood Rd Ste 100, Kirkwood, MO 63122-6056 Ph: (314) 686-4990 |
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