Leiane Moore Boudreau, ARNP in Saint Augustine, FL

Leiane Moore Boudreau, ARNP is a medicare enrolled "Nurse Practitioner" in Saint Augustine, Florida. Her current practice location is 1301 Plantation Island Dr S, Suite 106a, Saint Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 460-9191.

Leiane Moore Boudreau is licensed to practice in Florida (license number ARNP2514302) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588833958.

Contact Information

	Leiane Moore Boudreau, ARNP
	1301 Plantation Island Dr S, Suite 106a, Saint Augustine, FL 32080-3108
	(904) 460-9191
	(904) 471-4859

Map and Direction

Provider's Profile

Full Name	Leiane Moore Boudreau
Gender	Female
Speciality	Nurse Practitioner
Location	1301 Plantation Island Dr S, Saint Augustine, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588833958
Provider Enumeration Date: 02/29/2008
Last Update Date: 01/05/2015

Medicare PECOS Information:

PECOS PAC ID: 4981776101
Enrollment ID: I20080703000443

Medical Identifiers

Medical identifiers for Leiane Moore Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588833958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP2514302 (Florida)	Primary

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. Leiane Moore Boudreau allows following entities to bill medicare on her behalf.

Entity Name	Paragon Emergency Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143

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. Leiane Moore 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 Address	Practice Location Address
Leiane Moore Boudreau, ARNP 1301 Plantation Island Dr S, Suite 106a, Saint Augustine, FL 32080-3108 Ph: (904) 460-9191	Leiane Moore Boudreau, ARNP 1301 Plantation Island Dr S, Suite 106a, Saint Augustine, FL 32080-3108 Ph: (904) 460-9191

Reviews and Comments

Nurse Practitioner Nurses in Saint Augustine, FL

Lucie Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Chasewood Dr, Saint Augustine, FL 32095 Phone: 408-759-2838
Samantha D Reynolds, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Blvd Ste 3002, Saint Augustine, FL 32086 Phone: 904-819-1500 Fax: 904-810-1023
Ms. Katrina Shanell General, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Plaza Blvd Ste B5b6, Saint Augustine, FL 32086 Phone: 904-819-5150 Fax: 904-819-5152
Angelique Willis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 217 Ashbrook St, Saint Augustine, FL 32084 Phone: 904-599-9192
Eli Billeter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Moultrie Crossing Ln, Saint Augustine, FL 32086 Phone: 904-819-5155
Stephanie Digirolamo, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Silver Glen Ave, Saint Augustine, FL 32092 Phone: 904-525-1302
Bethany Ann Brown, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Whetstone Pl, Saint Augustine, FL 32086 Phone: 904-746-1095

Leiane Moore Boudreau, ARNP - Medicare Nurse Practitioner in Saint Augustine, FL