Dr Renee L Boulicault, MD - Medicare in Kingsport, TN

Dr Renee L Boulicault, MD is a medicare enrolled "Hospitalist" physician in Kingsport, Tennessee. Her current practice location is 105 W Park Dr, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-3220.

Dr Renee L Boulicault is licensed to practice in Tennessee (license number 70768) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639148422.

Contact Information

Dr Renee L Boulicault, MD
105 W Park Dr,
Kingsport, TN 37660-3805
(423) 224-3220
Not Available

Map and Direction




Physician's Profile

Full NameDr Renee L Boulicault
GenderFemale
Speciality
Experience Years
Location105 W Park Dr, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Renee L Boulicault attended and graduated from in
  NPI Data:
  • NPI Number: 1639148422
  • Provider Enumeration Date: 03/15/2006
  • Last Update Date: 09/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Renee L Boulicault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639148422NPI-NPPES
1639148422MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 4868-320 (Wisconsin)Secondary
207V00000XObstetrics & Gynecology 103629 (Missouri)Secondary
207V00000XObstetrics & Gynecology 70768 (Tennessee)Secondary
208M00000XHospitalist 70768 (Tennessee)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 Renee L Boulicault 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 Renee L Boulicault, MD
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 952-2111
Dr Renee L Boulicault, MD
105 W Park Dr,
Kingsport, TN 37660-3805

Ph: (423) 224-3220

Reviews and Comments


Hospitalist Doctors in Kingsport, TN

Patrina Nicolyn Cradic, FNP-C
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Phone: 423-224-4000    
Dr. Mark L Withrow, MD
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Phone: 423-247-7500    Fax: 423-247-7556
Jessica Machue, MD
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Practice Location: 102 E Ravine Rd, Kingsport, TN 37660
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Jamie Kendall Bartley, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660
Phone: 423-857-5905    Fax: 423-857-5904
Dr. Dennis Starr, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-282-1480    Fax: 423-928-1353
Dan Frechtling,
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Medicare: Medicare Enrolled
Practice Location: 4 Sheridan Sq Ste 200, Kingsport, TN 37660
Phone: 423-246-7931    
Dr. Mircea Boiciuc, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660
Phone: 423-857-2793    Fax: 423-578-8025

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.