| Jacob Boudreau, CRNA | |
|
509 Biltmore Ave, Asheville, NC 28801-4601 | |
| (828) 213-1111 | |
| Not Available |
| Full Name | Jacob Boudreau |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 509 Biltmore Ave, Asheville, North Carolina |
| 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 |
|---|---|---|---|
| 1316395759 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sky Ridge Medical Center | Lone tree, CO | Hospital |
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Us Anesthesia Partners Of Colorado Inc | 6002072055 | 452 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Entity Name | Us Anesthesia Partners Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Boudreau, CRNA 509 Biltmore Ave, Asheville, NC 28801-4601 Ph: (828) 213-1111 | Jacob Boudreau, CRNA 509 Biltmore Ave, Asheville, NC 28801-4601 Ph: (828) 213-1111 |
Bradley Richard Gleckler, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 Biltmore Ave, Asheville, NC 28801 Phone: 828-213-1111 | |
Emily Grace Brozowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 Biltmore Ave, Asheville, NC 28801 Phone: 929-777-8379 | |
Kenneth B Walker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 76 Peachtree Rd, Suite 300, Asheville, NC 28803 Phone: 828-254-1969 Fax: 828-254-4611 | |
Mr. Timothy Whalen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 76 Peachtree Road, Suite 300, Asheville, NC 28803 Phone: 828-254-1969 Fax: 828-274-7407 | |
Emma Greear Autry, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 Biltmore Ave, Asheville, NC 28801 Phone: 828-213-2325 | |
Angela Michelle Simmons, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 76 Peachtree Rd, Suite 300, Asheville, NC 28803 Phone: 828-254-1969 Fax: 828-254-4611 | |
Tamara Ann Matejka, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 76 Peachtree Road, Suite 300, Asheville, NC 28803 Phone: 828-274-3477 Fax: 828-274-7407 |