Pibi Jean Bouda, in Saint Louis, MO - Medicare Nurse Practitioner

Pibi Jean Bouda, is a medicare enrolled "Nurse Practitioner - Gerontology" in Saint Louis, Missouri. His current practice location is 3320 Marshall Ave, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 489-5537.

Pibi Jean Bouda is licensed to practice in Missouri (license number 2023005006) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235836982.

Contact Information

	Pibi Jean Bouda,
	3320 Marshall Ave, Saint Louis, MO 63114-4344
	(314) 489-5537
	Not Available

Map and Direction

Provider's Profile

Full Name	Pibi Jean Bouda
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	3320 Marshall Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235836982
Provider Enumeration Date: 02/13/2023
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2163896689
Enrollment ID: I20230324000933

Medical Identifiers

Medical identifiers for Pibi Jean Bouda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235836982	NPI	-	NPPES
NA	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	2023005006 (Missouri)	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. Pibi Jean Bouda allows following entities to bill medicare on his behalf.

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

Entity Name	Digestive Health Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801286844 PECOS PAC ID: 9739494832 Enrollment ID: O20150819006984

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. Pibi Jean Bouda 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
Pibi Jean Bouda, 3320 Marshall Ave, Saint Louis, MO 63114-4344 Ph: (314) 489-5537	Pibi Jean Bouda, 3320 Marshall Ave, Saint Louis, MO 63114-4344 Ph: (314) 489-5537

Reviews and Comments

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Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185

Pibi Jean Bouda, - Medicare Nurse Practitioner in Saint Louis, MO