| Daniel J Boudreaux, MD | |
|
1230 Baxter St, Athens, GA 30606-3712 | |
| (706) 389-2400 | |
| (706) 389-2401 |
| Full Name | Daniel J Boudreaux |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 32 Years |
| Location | 1230 Baxter St, Athens, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811063894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 58150 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Hospital | Athens, GA | Hospital |
| St. Mary's Good Samaritan Hospital | Greensboro, GA | Hospital |
| Ty Cobb Regional Medical Center, Llc | Lavonia, GA | Hospital |
| Emory University Hospital | Atlanta, GA | Hospital |
| Mountain Lakes Medical Center | Clayton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Mary's Medical Group, Inc. | 7113098393 | 118 |
| Entity Name | Nuclear Medicine And Pathology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760454318 PECOS PAC ID: 3779574546 Enrollment ID: O20040520000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Boudreaux, MD Po Box 48089, Athens, GA 30604-8089 Ph: (706) 389-3740 | Daniel J Boudreaux, MD 1230 Baxter St, Athens, GA 30606-3712 Ph: (706) 389-2400 |
Joseph J Gaines Jr., MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 706-389-2425 Fax: 706-389-2426 | |
Dr. Sven Arlen Swanson, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-3398 Fax: 706-475-6796 | |
Dr. William J. Hardman Iii, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 110 Trinity Pl, Athens, GA 30607 Phone: 706-546-4884 Fax: 706-546-4084 | |
Dr. Daniel W. Tench, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-3398 Fax: 706-475-6796 | |
Dr. Robert Andrew Bradley, MD Pathology Medicare: Medicare Enrolled Practice Location: 235 S Church St, Athens, GA 30605 Phone: 478-731-9831 Fax: 706-850-6852 | |
Jaroslava Halper, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 501 Dw Brooks Drive Department Of Pathology, Athens, GA 30602 Phone: 706-542-5830 Fax: 706-542-5828 | |
Dr. Stephen Legrande Aleshire, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-3398 Fax: 706-475-6796 |