| Nedrana Boutte, MD | |
|
538 Broadway, Winnie, TX 77665-7600 | |
| (409) 296-9505 | |
| (409) 296-2506 |
| Full Name | Nedrana Boutte |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 538 Broadway, Winnie, Texas |
| 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 |
|---|---|---|---|
| 1982805586 | NPI | - | NPPES |
| 8S2464 | Other | TX | BCBS |
| 189110301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M6974 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Innovative Health Services Inc | Anahuac, TX | Home health agency |
| Kindred At Home | Beaumont, TX | Home health agency |
| Texas Home Health Skilled Services | Beaumont, TX | Home health agency |
| Gentiva Hospice | Beaumont, TX | Hospice |
| Riceland Medical Center | Winnie, TX | Hospital |
| Baptist Beaumont Hospital | Beaumont, TX | Hospital |
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Bayside Community Hospital | Anahuac, TX | Hospital |
| Arboretum Nursing And Rehabilitation Center Of Win | Winnie, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thompson Outpatient Clinic, Llc | 6709837362 | 2 |
| Entity Name | Thompson Outpatient Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407961048 PECOS PAC ID: 6709837362 Enrollment ID: O20050201000920 |
| Entity Name | Boutte Family Practice, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770347031 PECOS PAC ID: 7911441944 Enrollment ID: O20240702001236 |
| Mailing Address | Practice Location Address |
|---|---|
| Nedrana Boutte, MD Po Box 714, Winnie, TX 77665-0714 Ph: (409) 296-9505 | Nedrana Boutte, MD 538 Broadway, Winnie, TX 77665-7600 Ph: (409) 296-9505 |
Dr. Robert Michael Mena, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6000 | |
Dr. William Clay Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1178 2nd St, Winnie, TX 77665 Phone: 409-296-9505 Fax: 409-296-2506 | |
Dr. Leonidas S Andres, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6000 Fax: 409-396-6372 | |
Dr. Michael Lyons, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2584 State Highway 124, Winnie, TX 77665 Phone: 409-296-4444 Fax: 409-296-4445 |