Michael C Boudreaux, CRNA | |
3719 Dauphin St, Springhill Medical Center Anesthesia Dept, Mobile, AL 36608-1753 | |
(251) 342-3000 | |
(251) 342-3043 |
Full Name | Michael C Boudreaux |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 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 |
---|---|---|---|
1306810759 | NPI | - | NPPES |
000051288 | Medicaid | AL | |
105570 | Medicaid | AL | |
CN0216 | Other | AL | MEDICARE TRAVELERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1074276 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Usa Health University Hospital | Mobile, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Usa Health Anesthesia Billing Services Llc | 1153659123 | 142 |
Anesthesiacare Pc | 2961727169 | 18 |
Entity Name | University Of South Alabama |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
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 | Physynergy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456 |
Entity Name | Sheridan Anesthesia Services Of Alabama, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225379159 PECOS PAC ID: 3971740465 Enrollment ID: O20130430000209 |
Entity Name | Anesthesiacare Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881099174 PECOS PAC ID: 2961727169 Enrollment ID: O20150211000141 |
Entity Name | University Of South Alabama |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417408659 PECOS PAC ID: 3072425149 Enrollment ID: O20170118001161 |
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 |
---|---|
Michael C Boudreaux, CRNA Po Box 851417, Mobile, AL 36685-1417 Ph: (251) 342-3000 | Michael C Boudreaux, CRNA 3719 Dauphin St, Springhill Medical Center Anesthesia Dept, Mobile, AL 36608-1753 Ph: (251) 342-3000 |
Johnathan E Bruns, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-432-4497 Fax: 251-432-0577 | |
Mrs. Lisa M Mckinley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6701 Airport Blvd, Suite 430, Mobile, AL 36608 Phone: 251-631-3270 | |
Ted W Holmes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3719 Dauphin St, Springhill Medical Center Anesthesia Dept, Mobile, AL 36608 Phone: 251-342-3000 Fax: 251-342-3043 | |
Lindsey Lovorn Diehl, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 351-633-1000 | |
Richard Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 205-848-2925 Fax: 334-377-4417 | |
Jennifer D Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-432-4497 Fax: 251-432-0577 | |
John Adam Self, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2451 Fillingim St, Room 335, Mobile, AL 36617 Phone: 251-471-7045 |