| Randall C Boudreaux, MD | |
|
3719 Dauphin St, Springhill Anesthesia Department, Mobile, AL 36608-1753 | |
| (251) 342-3000 | |
| (251) 342-3043 |
| Full Name | Randall C Boudreaux |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 3719 Dauphin St, Mobile, Alabama |
| 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 |
|---|---|---|---|
| 1033182878 | NPI | - | NPPES |
| 000058779 | Medicaid | AL | |
| 105357 | Medicaid | AL | |
| CN0216 | Other | AL | MEDICARE TRAVELERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 16510 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Springhill Medical Center | Mobile, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Anesthesia, P.c. | 1052213519 | 5 |
| Entity Name | Coastal Anesthesia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588637169 PECOS PAC ID: 1052213519 Enrollment ID: O20040123001037 |
| Entity Name | Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952390643 PECOS PAC ID: 9830111871 Enrollment ID: O20051219000880 |
| Entity Name | Usa Health Anesthesia Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629635818 PECOS PAC ID: 1153659123 Enrollment ID: O20190829000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall C Boudreaux, MD Po Box 851417, Mobile, AL 36685-1417 Ph: (251) 342-3000 | Randall C Boudreaux, MD 3719 Dauphin St, Springhill Anesthesia Department, Mobile, AL 36608-1753 Ph: (251) 342-3000 |
Dr. Alexandra Baxter Vanhaneghan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 51 Tacon St Ste D, Mobile, AL 36607 Phone: 205-934-4696 | |
Dr. Casey Alexander Johnson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-435-2400 | |
Travis Steven Steinke, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 51 Tacon St Ste D, Mobile, AL 36607 Phone: 251-341-2879 | |
Frances B Thurber, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-432-4497 Fax: 251-432-0577 | |
Cassie Kennedy Burns, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3 Mobile Infirmary Cir Ste 410, Mobile, AL 36607 Phone: 251-435-6850 | |
Aston G Archibald, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6701 Airport Blvd, Suite D430b, Mobile, AL 36608 Phone: 979-393-9940 |