Connor Boudreau, in Newburyport, MA - Medicare Physical Therapist Provider

Connor Boudreau, is a medicare enrolled "Physical Therapist" provider in Newburyport, Massachusetts. His current practice location is 112 Parker St Lowr Level, Newburyport, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 572-4333.

Connor Boudreau is licensed to practice in Massachusetts (license number ) 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 1255192480.

Contact Information

	Connor Boudreau,
	112 Parker St Lowr Level, Newburyport, MA 01950-4008
	(978) 572-4333
	(978) 451-0919

Map and Direction

Healthcare Provider's Profile

Full Name	Connor Boudreau
Gender	Male
Speciality	Physical Therapist
Location	112 Parker St Lowr Level, Newburyport, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255192480
Provider Enumeration Date: 01/16/2024
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 5092150763
Enrollment ID: I20240304003407

Medical Identifiers

Medical identifiers for Connor Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255192480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Massachusetts)	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. Connor Boudreau allows following entities to bill medicare on his behalf.

Provider Name	Proex Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1831190453 PECOS PAC ID: 0345212395 Enrollment ID: O20040810000744

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. Connor Boudreau 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
Connor Boudreau, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: () -	Connor Boudreau, 112 Parker St Lowr Level, Newburyport, MA 01950-4008 Ph: (978) 572-4333

Reviews and Comments

Physical Therapist in Newburyport, MA

Shannen Margaret Wallace, Physical Therapist Medicare: Medicare Enrolled Practice Location: 25 Storey Ave Ste 11, Newburyport, MA 01950 Phone: 978-499-2370
Alexander Ross Lindholm Perrott, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 Parker St, Newburyport, MA 01950 Phone: 978-270-5190
Richard Bernier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 1/2 Forrester St, Newburyport, MA 01950 Phone: 978-465-2862 Fax: 978-465-2839
Bernier Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 1/2 Forrester St, Newburyport, MA 01950 Phone: 978-465-2862 Fax: 978-465-2839
Small Strides Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 257 Merrimac St, Newburyport, MA 01950 Phone: 978-255-3606
Wayne Fish, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Merrimac St, Newburyport, MA 01950 Phone: 978-462-0209 Fax: 978-462-0719

Connor Boudreau, - Medicare Physical Therapist in Newburyport, MA