Johnathan Ory Boudreaux, DC in Monroe, LA - Medicare Chiropractor Provider

Johnathan Ory Boudreaux, DC is a medicare enrolled "Chiropractor" provider in Monroe, Louisiana. His current practice location is 3219 Sterlington Rd, Monroe, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 387-5388.

Johnathan Ory Boudreaux is licensed to practice in Louisiana (license number 1913) 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 1114539418.

Contact Information

	Johnathan Ory Boudreaux, DC
	3219 Sterlington Rd, Monroe, LA 71203-2519
	(318) 387-5388
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Johnathan Ory Boudreaux
Gender	Male
Speciality	Chiropractor
Location	3219 Sterlington Rd, Monroe, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114539418
Provider Enumeration Date: 08/18/2020
Last Update Date: 08/18/2020

Medicare PECOS Information:

PECOS PAC ID: 9032520440
Enrollment ID: I20201116001192

Medical Identifiers

Medical identifiers for Johnathan Ory Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114539418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	1913 (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. Johnathan Ory Boudreaux allows following entities to bill medicare on his behalf.

Provider Name	Shell Chiropractic, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326142621 PECOS PAC ID: 1658502281 Enrollment ID: O20140325001497

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. Johnathan Ory 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
Johnathan Ory Boudreaux, DC 3219 Sterlington Rd, Monroe, LA 71203-2519 Ph: (318) 387-5388	Johnathan Ory Boudreaux, DC 3219 Sterlington Rd, Monroe, LA 71203-2519 Ph: (318) 387-5388

Reviews and Comments

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Johnathan Ory Boudreaux, DC - Medicare Chiropractor in Monroe, LA