| Mrs Melissa Beth Boudreaux, PA-C | |
|
1040 River Heritage Blvd, Suite 204, Bradenton, FL 34212-6348 | |
| (941) 917-7100 | |
| (941) 917-7142 |
| Full Name | Mrs Melissa Beth Boudreaux |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 1040 River Heritage Blvd, Bradenton, Florida |
| 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 |
|---|---|---|---|
| 1164490116 | NPI | - | NPPES |
| 291905200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9102893 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Walsh Family Medicine Llc | 3173877909 | 7 |
| Entity Name | Walsh Family Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356826770 PECOS PAC ID: 3173877909 Enrollment ID: O20181114003010 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melissa Beth Boudreaux, PA-C Po Box 863407, Orlando, FL 32886-3407 Ph: (941) 917-2600 | Mrs Melissa Beth Boudreaux, PA-C 1040 River Heritage Blvd, Suite 204, Bradenton, FL 34212-6348 Ph: (941) 917-7100 |
Marcie Kroska, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-745-7233 |
Krystina Marian Hadra, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4502 Cortez Rd W Ste 205, Bradenton, FL 34210 Phone: 941-259-8505 Fax: 941-259-8501 |
Mindy Oberley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W Ste 2200, Bradenton, FL 34209 Phone: 941-794-5621 |
Mr. Daniel H Ober, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 75th St W, Bradenton, FL 34209 Phone: 941-761-1616 Fax: 941-761-3807 |
Jamie Lee Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-761-0712 |
Georgia Ireland, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5318 34th St West, Bradenton, FL 34210 Phone: 941-758-0205 |
Erin N Allendorfer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-745-7233 |