Robert A Boudreau, DPM in Tyler, TX - Medicare Podiatrist Provider

Robert A Boudreau, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Tyler, Texas. His current practice location is 1028 E Idel, Suite A, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 593-1749.

Robert A Boudreau is licensed to practice in Texas (license number 0833) 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 1326147281.

Contact Information

	Robert A Boudreau, DPM
	1028 E Idel, Suite A, Tyler, TX 75701
	(903) 593-1749
	(903) 593-1749

Map and Direction

Healthcare Provider's Profile

Full Name	Robert A Boudreau
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	1028 E Idel, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326147281
Provider Enumeration Date: 09/21/2006
Last Update Date: 05/18/2011

Medicare PECOS Information:

PECOS PAC ID: 2466524194
Enrollment ID: I20080711000372

Medical Identifiers

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

Identifier	Type	State	Issuer
1326147281	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	0833 (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. Robert A Boudreau allows following entities to bill medicare on his behalf.

Provider Name	East Texas Medical Center Healthcare Associates
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152

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. Robert A 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
Robert A Boudreau, DPM 1028 E Idel, Suite A, Tyler, TX 75701 Ph: (903) 593-1749	Robert A Boudreau, DPM 1028 E Idel, Suite A, Tyler, TX 75701 Ph: (903) 593-1749

Reviews and Comments

Podiatrist in Tyler, TX

David A. Andreone, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7826
Keith Robert Crandall, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1605 Stafford Dr, Tyler, TX 75703 Phone: 903-941-9247 Fax: 888-503-2519
Thomas F Mccloskey Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1318 Clinic Dr, Tyler, TX 75701 Phone: 903-597-9622 Fax: 903-597-1210
Foot Clinic Of East Texas Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1828 E Southeast Loop 323 Ste 111, Tyler, TX 75701 Phone: 903-593-0987 Fax: 903-592-3309
Dr. Brandon E. Crim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 417 S Saunders Ave, Tyler, TX 75702 Phone: 903-596-9173
David A. Andreone Dpm Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 921 Shiloh Road, Ste C110, Tyler, TX 75703 Phone: 903-595-2858 Fax: 903-595-6970
East Texas Podiatry Associates, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1028 E Idel, Suite A, Tyler, TX 75701 Phone: 903-593-1749 Fax: 903-593-1487

Robert A Boudreau, DPM - Medicare Podiatrist in Tyler, TX