| Dr Jason K Boudreau, DPM | |
|
2311 N Prospect Ave, Milwaukee, WI 53211-4445 | |
| (414) 319-3000 | |
| Not Available |
| Full Name | Dr Jason K Boudreau |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 29 Years |
| Location | 2311 N Prospect Ave, Milwaukee, Wisconsin |
| 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 |
|---|---|---|---|
| 1518959378 | NPI | - | NPPES |
| 43231600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 803-025 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 299 |
| Provider Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason K Boudreau, DPM 4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082 Ph: (414) 319-3000 | Dr Jason K Boudreau, DPM 2311 N Prospect Ave, Milwaukee, WI 53211-4445 Ph: (414) 319-3000 |
Dr. Laith Shaman, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1271 N 6th St, Milwaukee, WI 53212 Phone: 414-805-3666 | |
Sam Wier, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2801 W Kk River Pkwy Ste 170, Milwaukee, WI 53215 Phone: 414-385-8600 | |
Dr. Clifford D Greenbaum, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8003 N Port Washington Rd, Milwaukee, WI 53217 Phone: 414-228-6444 Fax: 414-228-7005 | |
Dr. Isaac J Trejo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4100 S Howell Ave, Milwaukee, WI 53207 Phone: 414-483-5566 Fax: 866-263-5456 | |
Ambulatory Surgery, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10150 W National Ave Ste 350, Milwaukee, WI 53227 Phone: 414-257-3322 Fax: 414-257-3364 | |
Dr. Isaac Cyril York, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2301 N Lake Dr Rm 3664, Milwaukee, WI 53211 Phone: 414-585-1458 | |
Dr. Patrick A Krzyzewski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4100 S Howell Ave, Milwaukee, WI 53207 Phone: 414-546-3100 Fax: 414-502-3398 |