Mrs Lisa D Boudreaux, PT in Jennings, LA - Medicare Physical Therapist Provider

Mrs Lisa D Boudreaux, PT is a medicare enrolled "Physical Therapist" provider in Jennings, Louisiana. Her current practice location is 2002 Johnson St, Ste. 100, Jennings, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 824-4547.

Mrs Lisa D Boudreaux is licensed to practice in Louisiana (license number 04155) 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 1477686392.

Contact Information

	Mrs Lisa D Boudreaux, PT
	2002 Johnson St, Ste. 100, Jennings, LA 70546-3646
	(337) 824-4547
	(337) 824-4548

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lisa D Boudreaux
Gender	Female
Speciality	Physical Therapist
Location	2002 Johnson St, Jennings, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477686392
Provider Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8426152026
Enrollment ID: I20070409000046

Medical Identifiers

Medical identifiers for Mrs Lisa D Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477686392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	04155 (Louisiana)	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. Mrs Lisa D Boudreaux allows following entities to bill medicare on her behalf.

Provider Name	Therapy Center Of Jefferson Davis Parish, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508971045 PECOS PAC ID: 0345207544 Enrollment ID: O20050120000627

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. Mrs Lisa D Boudreaux 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
Mrs Lisa D Boudreaux, PT 137 Alee Rd, Eunice, LA 70535-6732 Ph: (337) 824-4547	Mrs Lisa D Boudreaux, PT 2002 Johnson St, Ste. 100, Jennings, LA 70546-3646 Ph: (337) 824-4547

Reviews and Comments

Physical Therapist in Jennings, LA

Mrs. Claire T Cope, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548
Casey D Villanueva, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2002 Johnson St Ste 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548
Mrs. Monica L Bass, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548
Miss Alicia G Pruitt, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548
Thibodeaux, Albro & Touchet Therapy Group, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1322 Elton Rd, Suite I, Jennings, LA 70546 Phone: 337-824-5488 Fax: 337-824-5494
Ms. Erin Nicole Raiford, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548
Mr. Michael Shane Castille, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2002 Johnson St, Ste. 100, Jennings, LA 70546 Phone: 337-824-4547 Fax: 337-824-4548

Mrs Lisa D Boudreaux, PT - Medicare Physical Therapist in Jennings, LA