| Patricia A Boudet, PA | |
|
404 S Lewis Ln, Carbondale, IL 62901-3547 | |
| (618) 519-9200 | |
| Not Available |
| Full Name | Patricia A Boudet |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 404 S Lewis Ln, Carbondale, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841237120 | NPI | - | NPPES |
| 370966854024 | Medicaid | IL | |
| 085-000668 | Other | IL | STATE PA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085-000668 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Boudet, PA Po Box 577, 109 California Street, Carterville, IL 62918-0577 Ph: (618) 985-8221 | Patricia A Boudet, PA 404 S Lewis Ln, Carbondale, IL 62901-3547 Ph: (618) 519-9200 |
Mr. Lukas Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479 | |
Ms. Britney Nicole Arnold, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Joeli Diemer, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621 | |
Ms. Nicole A Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Mr. Michael Leroy Matteson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 105, Carbondale, IL 62901 Phone: 618-536-2565 Fax: 618-536-2835 | |
John Howard Davidson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Kilmeny Clark, Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-453-8850 |