John Anthony Boudreau, MD - Medicare Orthopedic Surgery in Saint Louis, MO

John Anthony Boudreau, MD is a medicare enrolled "Orthopaedic Surgery" physician in Saint Louis, Missouri. He went to Wayne State University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Ssm Health Care Group and his current practice location is 1201 S Grand Blvd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 257-8000.

John Anthony Boudreau is licensed to practice in Maryland (license number D0063481) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053338640.

Contact Information

John Anthony Boudreau, MD
1201 S Grand Blvd,
Saint Louis, MO 63104-1016
(314) 257-8000
(314) 268-5121

Map and Direction




Physician's Profile

Full NameJohn Anthony Boudreau
GenderMale
SpecialityOrthopedic Surgery
Experience24 Years
Location1201 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Anthony Boudreau attended and graduated from Wayne State University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1053338640
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 05/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375541436
  • Enrollment ID: I20061128000172

Medical Identifiers

Medical identifiers for John Anthony Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053338640NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery D0063481 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Louis University HospitalSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Health Care Group0143608372678

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. John Anthony Boudreau allows following entities to bill medicare on his behalf.
Entity NameSsm Health Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655

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. John Anthony 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 AddressPractice Location Address
John Anthony Boudreau, MD
3691 Rutger Ave, Provider Enrollment,
St Louis, MO 63110

Ph: (314) 977-4440
John Anthony Boudreau, MD
1201 S Grand Blvd,
Saint Louis, MO 63104-1016

Ph: (314) 257-8000

Reviews and Comments


Orthopaedic Surgery Doctors in Saint Louis, MO

Nathan M Fisher, D.O.
Orthopedic Surgery
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Phone: 314-849-0311    Fax: 314-849-4423
Dr. Wassim Mourad, MD, MHCM
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Practice Location: 1008 S Spring Ave Rm 1114, Saint Louis, MO 63110
Phone: 314-977-4102    
Dr. Moneer Moustafa Abouljoud, MD
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Dr. Brian Adams Kelly, MD
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Medicare: Medicare Enrolled
Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110
Phone: 314-747-2551    Fax: 314-747-2598
Thomas John Revak, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110
Phone: 314-977-5350    
Dr. Nicholas Andrew Pallotta, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110
Phone: 314-747-2551    Fax: 314-747-2598
Dr. Jesse G Susi, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 675 Old Ballas Rd Ste 100, Saint Louis, MO 63141
Phone: 314-733-9009    

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.