| Jaime M Boudreaux, MD | |
|
2315 E Main St, New Iberia, LA 70560-4031 | |
| (337) 367-1048 | |
| (337) 367-0131 |
| Full Name | Jaime M Boudreaux |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 2315 E Main St, New Iberia, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598799876 | NPI | - | NPPES |
| 1017043 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 19137 (Mississippi) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 201481 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rapides Regional Medical Center | Alexandria, LA | Hospital |
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Iberia Medical Center | New iberia, LA | Hospital |
| Minden Medical Center | Minden, LA | Hospital |
| Hardtner Medical Center | Olla, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of Southwest Louisiana | 0941243562 | 92 |
| Acadiana Radiology Group | 1355403114 | 54 |
| Radiology Associates Of Iberia | 3375533201 | 10 |
| Hospital Service District No 1 Of The Parish Of St Mary | 6800782541 | 24 |
| Entity Name | Hospital Service District No 1 Of The Parish Of St Mary |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952434946 PECOS PAC ID: 6800782541 Enrollment ID: O20040227000510 |
| Entity Name | Radiology Associates Of Iberia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083661003 PECOS PAC ID: 3375533201 Enrollment ID: O20040513000964 |
| Entity Name | Radiology Associates Of Southwest Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033215710 PECOS PAC ID: 0941243562 Enrollment ID: O20050606000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime M Boudreaux, MD Po Box 9774, New Iberia, LA 70562-9774 Ph: (337) 367-1048 | Jaime M Boudreaux, MD 2315 E Main St, New Iberia, LA 70560-4031 Ph: (337) 367-1048 |
Stephan Klaus Stamato, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 337-367-1048 Fax: 337-367-0131 | |
Dr. Richard Andrew Vanbergen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 337-367-1048 Fax: 337-367-0131 | |
Dr. John G Lemieux, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 337-367-1048 Fax: 337-367-0131 | |
Dr. David P Fontenot, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 337-367-1048 Fax: 337-367-0131 | |
Dr. Boyd D Snellgrove, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 337-367-1048 Fax: 337-367-0131 | |
Dr. Phillip J Scurria Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 337-367-1048 Fax: 337-367-0131 |