Anissa Boudreau, DC is a medicare enrolled "Chiropractor" provider in Chepachet, Rhode Island. She went to Sherman College Of Straight Chiropractic and graduated in 2017 and has 9 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Malchar Chiropractic and her current practice location is
712 Putnam Pike Unit 4, Chepachet, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 568-2200.
Anissa Boudreau is licensed to practice in Rhode Island (license number DCP00654) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1346765450.
Healthcare Provider's Profile
| Full Name | Anissa Boudreau |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 9 Years |
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| Location | 712 Putnam Pike Unit 4, Chepachet, Rhode Island |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Anissa Boudreau attended and graduated from Sherman College Of Straight Chiropractic in 2017
NPI Data:
- NPI Number: 1346765450
- Provider Enumeration Date: 08/09/2017
- Last Update Date: 10/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 8527333947
- Enrollment ID: I20181129000821
Medical Identifiers
Medical identifiers for Anissa Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346765450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 04813 (North Carolina) | Secondary |
| 111N00000X | Chiropractor | DCP00654 (Rhode Island) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Malchar Chiropractic | 8820185093 | 2 |
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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. Anissa Boudreau allows following entities to bill medicare on her behalf.
| Provider Name | Malchar Chiropractic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265636500
PECOS PAC ID: 8820185093
Enrollment ID: O20071105000291 |
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| Provider Name | Evergreen Family Chiropractic LLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780568790
PECOS PAC ID: 9335625045
Enrollment ID: O20260113001209 |
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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. Anissa 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 |
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Anissa Boudreau, DC
712 Putnam Pike Unit 4,
Chepachet, RI 02814-1404
Ph: (401) 285-2320 | Anissa Boudreau, DC
712 Putnam Pike Unit 4,
Chepachet, RI 02814-1404
Ph: (401) 568-2200 |
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