Ryan Jacob Boudreaux, PT, DPT in Atlanta, GA - Medicare Physical Therapist Provider

Ryan Jacob Boudreaux, PT, DPT is a medicare enrolled "Physical Therapist - Neurology" provider in Atlanta, Georgia. His current practice location is 1462 Clifton Rd Ne Ste 312, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 727-4002.

Ryan Jacob Boudreaux is licensed to practice in Georgia (license number PT011641) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225437866.

Contact Information

	Ryan Jacob Boudreaux, PT, DPT
	1462 Clifton Rd Ne Ste 312, Atlanta, GA 30322-1000
	(404) 727-4002
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Jacob Boudreaux
Gender	Male
Speciality	Physical Therapist - Neurology
Location	1462 Clifton Rd Ne Ste 312, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225437866
Provider Enumeration Date: 08/20/2014
Last Update Date: 08/20/2014

Medicare PECOS Information:

PECOS PAC ID: 0941673156
Enrollment ID: I20230308001351

Medical Identifiers

Medical identifiers for Ryan Jacob Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225437866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251N0400X	Physical Therapist - Neurology	PT011641 (Georgia)	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. Ryan Jacob Boudreaux allows following entities to bill medicare on his behalf.

Provider Name	Rci (wrs), Llc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1417561655 PECOS PAC ID: 5092624510 Enrollment ID: O20120406000287

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. Ryan Jacob 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
Ryan Jacob Boudreaux, PT, DPT 265 Ponce De Leon Ave Ne Unit 2115, Atlanta, GA 30308-1999 Ph: (941) 232-3883	Ryan Jacob Boudreaux, PT, DPT 1462 Clifton Rd Ne Ste 312, Atlanta, GA 30322-1000 Ph: (404) 727-4002

Reviews and Comments

Physical Therapist in Atlanta, GA

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Natalie Muniz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3280 Howell Mill Rd Nw Ste 303, Atlanta, GA 30327 Phone: 470-300-6030 Fax: 470-300-6031
Ogoluwakitan Cal Lawanson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3200 Downwood Cir Nw Ste 700, Atlanta, GA 30327 Phone: 404-355-0743

Ryan Jacob Boudreaux, PT, DPT - Medicare Physical Therapist in Atlanta, GA