Tara Boudoin Deville, NP in Beaumont, TX - Medicare Nurse Practitioner

Tara Boudoin Deville, NP is a medicare enrolled "Nurse Practitioner" in Beaumont, Texas. Her current practice location is 3195 Dowlen Rd Ste 105, Beaumont, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 204-0257.

Tara Boudoin Deville is licensed to practice in Texas (license number 712309) 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 1104184845.

Contact Information

	Tara Boudoin Deville, NP
	3195 Dowlen Rd Ste 105, Beaumont, TX 77706
	(409) 204-0257
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Boudoin Deville
Gender	Female
Speciality	Nurse Practitioner
Location	3195 Dowlen Rd Ste 105, Beaumont, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104184845
Provider Enumeration Date: 05/01/2012
Last Update Date: 06/13/2018

Medicare PECOS Information:

PECOS PAC ID: 3971759689
Enrollment ID: I20120813000556

Medical Identifiers

Medical identifiers for Tara Boudoin Deville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104184845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	712309 (Texas)	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. Tara Boudoin Deville allows following entities to bill medicare on her behalf.

Entity Name	Doctors Express Of The Beaumont Area Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841525235 PECOS PAC ID: 5698816882 Enrollment ID: O20100114000255

Entity Name	Doctor On Demand Professionals P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20230911004112

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. Tara Boudoin Deville 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
Tara Boudoin Deville, NP 3195 Dowlen Rd Ste 105, Beaumont, TX 77706-7272 Ph: (409) 204-0257	Tara Boudoin Deville, NP 3195 Dowlen Rd Ste 105, Beaumont, TX 77706 Ph: (409) 204-0257

Reviews and Comments

Nurse Practitioner Nurses in Beaumont, TX

Ruth Ngindu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 Dowlen Rd, Beaumont, TX 77706 Phone: 866-389-2727
Mrs. Monique Nichole Vannoy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Hospital Dr Ste 200, Beaumont, TX 77701 Phone: 409-212-5825
Charlotte Stevens Lejune, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-236-7171
Dawn Roque, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4347 Phelan Blvd, Beaumont, TX 77707 Phone: 409-767-9285
Mrs. Carley Ann Jaynes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 N 11th St Ste P3950, Beaumont, TX 77702 Phone: 409-892-0099
Ms. Lynda Marie Few, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St # 601, Beaumont, TX 77706 Phone: 409-924-9666
Jacqueline Nacole Dugas, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 740 Hospital Dr, Suite 300, Beaumont, TX 77701 Phone: 409-212-8111

Tara Boudoin Deville, NP - Medicare Nurse Practitioner in Beaumont, TX