Mr Andrew Gerard Boudreau, NP | |
580 W College Ave, Marquette, MI 49855-2705 | |
(906) 225-4531 | |
(906) 225-4807 |
Full Name | Mr Andrew Gerard Boudreau |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 580 W College Ave, Marquette, Michigan |
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 |
---|---|---|---|
1053330738 | NPI | - | NPPES |
4958447 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704174895 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dlp Marquette Physician Practices Inc | 9931359601 | 151 |
Entity Name | Dlp Marquette Physician Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
Mailing Address | Practice Location Address |
---|---|
Mr Andrew Gerard Boudreau, NP Po Box 220, Marquette, MI 49855-0220 Ph: (906) 225-3630 | Mr Andrew Gerard Boudreau, NP 580 W College Ave, Marquette, MI 49855-2705 Ph: (906) 225-4531 |
Lisa Lee Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 35, Marquette, MI 49855 Phone: 906-449-1140 Fax: 906-449-1844 | |
Rodney Riesland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Ste 344, Marquette, MI 49855 Phone: 906-225-3910 Fax: 906-225-4529 | |
Angela J Rose-kratz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Suite 249, Marquette, MI 49855 Phone: 906-225-3333 Fax: 906-225-3788 | |
Edith Elaine Weatherford, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, #226, Marquette, MI 49855 Phone: 906-225-3925 Fax: 906-225-4838 | |
Mrs. Rachel Bonsall, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Caleb Yeargan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 |