Elise Boudreaux, CAA in Atlanta, GA - Medicare Anesthesiologist Assistant

Elise Boudreaux, CAA is a medicare enrolled "Anesthesiologist Assistant" in Atlanta, Georgia. Her current practice location is 1405 Clifton Rd Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 785-5437.

Elise Boudreaux 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 1619673027.

Contact Information

	Elise Boudreaux, CAA
	1405 Clifton Rd Ne, Atlanta, GA 30322-1060
	(404) 785-5437
	Not Available

Map and Direction

Provider's Profile

Full Name	Elise Boudreaux
Gender	Female
Speciality	Anesthesiologist Assistant
Location	1405 Clifton Rd Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619673027
Provider Enumeration Date: 02/07/2023
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8224494927
Enrollment ID: I20230523001601

Medical Identifiers

Medical identifiers for Elise Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619673027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	(* (Not Available))	Primary

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. Elise Boudreaux allows following entities to bill medicare on her behalf.

Entity Name	Choa Hospital Based, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457695488 PECOS PAC ID: 4688812498 Enrollment ID: O20130605000601

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. Elise Boudreaux 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
Elise Boudreaux, CAA 1105 Clairemont Ave Apt P, Decatur, GA 30030-1256 Ph: (503) 939-4962	Elise Boudreaux, CAA 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 Ph: (404) 785-5437

Reviews and Comments

Anesthesiologist Assistant Nurses in Atlanta, GA

Matthew Lewis, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322 Phone: 404-785-6670 Fax: 404-785-1362
Elizabeth Ikeda, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-8311
Amar R Herndon, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181
Shelley S Staton, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Mr. Grant Michael Mury, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-778-3900
Ashley Schade, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 706-543-3449
Jiaqi Tracy Li, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342 Phone: 404-785-2008 Fax: 404-785-4496

Elise Boudreaux, CAA - Medicare Anesthesiologist Assistant in Atlanta, GA