Dr Blake William Boudreaux, MD - Medicare Dermatology in Ponte Vedra Beach, FL

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Dr Blake William Boudreaux, MD is a medicare enrolled "Dermatology" physician in Ponte Vedra Beach, Florida. His current practice location is 103 Solana Rd Ste B, Ponte Vedra Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 521-3433.

Dr Blake William Boudreaux is licensed to practice in Florida (license number ME173977) 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 1689203341.

Contact Information

Dr Blake William Boudreaux, MD
103 Solana Rd Ste B,
Ponte Vedra Beach, FL 32082-2231
(904) 521-3433
Not Available

Map and Direction




Physician's Profile

Full NameDr Blake William Boudreaux
GenderMale
SpecialityDermatology
Location103 Solana Rd Ste B, Ponte Vedra Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689203341
  • Provider Enumeration Date: 04/05/2020
  • Last Update Date: 05/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6406278951
  • Enrollment ID: I20200630000393

Medical Identifiers

Medical identifiers for Dr Blake William Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689203341NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology ME173977 (Florida)Primary

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. Dr Blake William 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 AddressPractice Location Address
Dr Blake William Boudreaux, MD
103 Solana Rd Ste B,
Ponte Vedra Beach, FL 32082-2231

Ph: (904) 521-3433		Dr Blake William Boudreaux, MD
103 Solana Rd Ste B,
Ponte Vedra Beach, FL 32082-2231

Ph: (904) 521-3433

Reviews and Comments


Dermatology Doctors in Ponte Vedra Beach, FL

Dr. Clarence E Boudreaux, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 103 Solana Road Suite B, Ponte Vedra Beach, FL 32082
Phone: 904-273-2717    Fax: 904-273-0410
Dr. Russell D Metz, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 103 Solana Road Suite B, Ponte Vedra Beach, FL 32082
Phone: 904-273-2717    Fax: 904-273-0410
Morgan Metz,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 103 Solana Rd, Ponte Vedra Beach, FL 32082
Phone: 904-273-2717    
Mark A Cappel, MD
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 100 Executive Way Ste 114, Ponte Vedra Beach, FL 32082
Phone: 904-842-3632    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.