Alycia Buford Boudreau, FNP-C - Medicare Nurse Practitioner in Lutz, FL

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Alycia Buford Boudreau, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lutz, Florida. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mori Bean And Brooks Inc and her current practice location is 19605 Morden Blush Dr, Lutz, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 433-3929.

Alycia Buford Boudreau is licensed to practice in Florida (license number 11002140) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649837352.

Contact Information

Alycia Buford Boudreau, FNP-C
19605 Morden Blush Dr,
Lutz, FL 33558-9087
(813) 433-3929
Not Available

Map and Direction




Provider's Profile

Full NameAlycia Buford Boudreau
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location19605 Morden Blush Dr, Lutz, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alycia Buford Boudreau graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1649837352
  • Provider Enumeration Date: 05/29/2019
  • Last Update Date: 01/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0042649923
  • Enrollment ID: I20200327000755

Medical Identifiers

Medical identifiers for Alycia Buford Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649837352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11002140 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Brandon Regional HospitalBrandon, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mori Bean And Brooks Inc8820077878647

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alycia Buford Boudreau allows following entities to bill medicare on her behalf.
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20040714001317
Entity NameTampa Bay Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518914977
PECOS PAC ID: 1456381136
Enrollment ID: O20050813000096
Entity NameSheridan Radiology Services Of Pinellas Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609211432
PECOS PAC ID: 7517119407
Enrollment ID: O20121128000124
Entity NameRadiology Physician Solutions Of West Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104205046
PECOS PAC ID: 3577876218
Enrollment ID: O20150723008463

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. Alycia Buford Boudreau 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 AddressPractice Location Address
Alycia Buford Boudreau, FNP-C
19605 Morden Blush Dr,
Lutz, FL 33558-9087

Ph: (813) 433-3929		Alycia Buford Boudreau, FNP-C
19605 Morden Blush Dr,
Lutz, FL 33558-9087

Ph: (813) 433-3929

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.