Dr Regis Joseph Boudreau, DPM is a medicare enrolled "Podiatrist" provider in Carlisle, Massachusetts. His current practice location is
1159 North Rd, Carlisle, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 244-3831.
Dr Regis Joseph Boudreau is licensed to practice in Massachusetts (license number 1922) 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 1992875744.
Healthcare Provider's Profile
| Full Name | Dr Regis Joseph Boudreau |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 1159 North Rd, Carlisle, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992875744
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 02/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193866622
- Enrollment ID: I20100106000561
Medical Identifiers
Medical identifiers for Dr Regis Joseph Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992875744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | 1922 (Massachusetts) | 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. Dr Regis Joseph Boudreau allows following entities to bill medicare on his behalf.
| Provider Name | Regis Boudreau Dpm Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922468511 PECOS PAC ID: 2163711037 Enrollment ID: O20160516001987 |
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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. Dr Regis Joseph 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 |
Dr Regis Joseph Boudreau, DPM 1159 North Rd, Carlisle, MA 01741-1245 Ph: (617) 244-3831 | Dr Regis Joseph Boudreau, DPM 1159 North Rd, Carlisle, MA 01741-1245 Ph: (617) 244-3831 |
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