Mrs Nicole M Boudreaux, PA-C in Princess Anne, MD

Mrs Nicole M Boudreaux, PA-C is a medicare enrolled "Physician Assistant - Medical" in Princess Anne, Maryland. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lower Shore Immediate Care Llc and her current practice location is 12302 Somerset Ave Ste Ab, Princess Anne, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 651-0300.

Mrs Nicole M Boudreaux is licensed to practice in Maryland (license number C0007122) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699231894.

Contact Information

	Mrs Nicole M Boudreaux, PA-C
	12302 Somerset Ave Ste Ab, Princess Anne, MD 21853-3099
	(410) 651-0300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nicole M Boudreaux
Gender	Female
Speciality	Physician Assistant
Experience	7 Years
Location	12302 Somerset Ave Ste Ab, Princess Anne, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Nicole M Boudreaux graduated from nursing school in 2018

NPI Data:

NPI Number: 1699231894
Provider Enumeration Date: 02/13/2019
Last Update Date: 12/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2466791348
Enrollment ID: I20190312001286

Medical Identifiers

Medical identifiers for Mrs Nicole M Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699231894	NPI	-	NPPES
C0007122	Other	MD	MARYLAND MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	C0007122 (Maryland)	Primary
207P00000X	Emergency Medicine	C0007122 (Maryland)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lower Shore Immediate Care Llc	0749578300	8

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. Mrs Nicole M Boudreaux 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
Mrs Nicole M Boudreaux, PA-C 34 Gatehouse Trl, Berlin, MD 21811-2023 Ph: (410) 490-9292	Mrs Nicole M Boudreaux, PA-C 12302 Somerset Ave Ste Ab, Princess Anne, MD 21853-3099 Ph: (410) 651-0300

Reviews and Comments

Physician Assistant Nurses in Princess Anne, MD

Janell Good, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11868 College Backbone Rd, Princess Anne, Princess Anne, MD 21853 Phone: 410-651-2200
Jada Dawn Bailey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12302 Somerset Ave Ste A, Princess Anne, MD 21853 Phone: 410-651-0300
Mr. David Christopher Ford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12302 Somerset Ave Ste Ab, Princess Anne, MD 21853 Phone: 410-651-0300 Fax: 410-651-0303
Phoebe Iloanya, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11868 College Backbone Rd, Princess Anne, MD 21853 Phone: 410-651-2200
Samantha Bernard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 30665 Student Services Center Ln, Princess Anne, MD 21853 Phone: 410-621-3032
Meagan Auth, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11868 Academic Oval, Princess Anne, MD 21853 Phone: 301-609-1670

Mrs Nicole M Boudreaux, PA-C - Medicare Physician Assistant in Princess Anne, MD