Douglas A Boudreau, MD in Hinesville, GA

Douglas A Boudreau, MD is a medicare enrolled "Pediatrics" physician in Hinesville, Georgia. His current practice location is 303 Fraser Dr, Hinesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 877-2227.

Douglas A Boudreau is licensed to practice in Georgia (license number 90555) 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 1598720617.

Contact Information

	Douglas A Boudreau, MD
	303 Fraser Dr, Hinesville, GA 31313-3712
	(912) 877-2227
	(912) 877-2332

Map and Direction

Physician's Profile

Full Name	Douglas A Boudreau
Gender	Male
Speciality	Pediatrics
Location	303 Fraser Dr, Hinesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598720617
Provider Enumeration Date: 04/20/2006
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1759532393
Enrollment ID: I20121108000219

Medical Identifiers

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

Identifier	Type	State	Issuer
1598720617	NPI	-	NPPES
440546366	Other		UNITED HEALTHCARE
PC10371	Other		CIGNA
1724934	Other		FIRST HEALTH
204659403	Medicaid	MO
H00943	Other		MERCY
207515500	Other	MO	MEDICAID
411755	Other		HEALTHLINK
7609055	Other		AETNA
124669	Other		BLUE CROSS BLUE SHIELD
204659403	Other	MO	MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	90555 (Georgia)	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. Douglas A Boudreau allows following entities to bill medicare on his behalf.

Entity Name	Capital Region Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507

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. Douglas 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
Douglas A Boudreau, MD Po Box 1520, Hinesville, GA 31310-8520 Ph: (912) 318-3947	Douglas A Boudreau, MD 303 Fraser Dr, Hinesville, GA 31313-3712 Ph: (912) 877-2227

Reviews and Comments

Pediatrics Doctors in Hinesville, GA

Dr. Nicole Stack Broerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 462 Elma G Miles Pkwy, Hinesville, GA 31313 Phone: 912-369-9400 Fax: 912-877-9438
Kijana Nicola Nix, MD,FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St Ste 103, Hinesville, GA 31313 Phone: 912-408-6868 Fax: 912-876-6566
Dr. Lakimberly Nicole Price, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St Ste 105, Hinesville, GA 31313 Phone: 912-876-0250 Fax: 912-369-2029
Dr. Phillip O Ajayi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St Ste 101, Hinesville, GA 31313 Phone: 912-876-6868 Fax: 912-876-6566
Mary Judith Allen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 303 Fraser Dr, Hinesville, GA 31313 Phone: 912-877-2227 Fax: 912-877-2332
Eric Lee Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 512 S Main St Ste A, Hinesville, GA 31313 Phone: 912-369-5437 Fax: 912-369-5740
Mrs. Brittany Loretta Carter, FNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St Ste 103, Hinesville, GA 31313 Phone: 912-876-6868 Fax: 912-876-6566

Douglas A Boudreau, MD - Medicare Pediatrics in Hinesville, GA