Dr Diane Marie Boudreaux, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rosharon, Texas. She graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
10634 Kings River Dr, Rosharon, Texas. You can reach out to her office (for appointments etc.) via phone at
(713) 232-0034.
Dr Diane Marie Boudreaux is licensed to practice in Texas (license number 35073) 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 1568782068.
Healthcare Provider's Profile
| Full Name | Dr Diane Marie Boudreaux |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 21 Years |
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| Location | 10634 Kings River Dr, Rosharon, Texas |
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| 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:
- Dr Diane Marie Boudreaux graduated from medical school in 2005
NPI Data:
- NPI Number: 1568782068
- Provider Enumeration Date: 06/07/2010
- Last Update Date: 02/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 2860633500
- Enrollment ID: I20130725000459
Medical Identifiers
Medical identifiers for Dr Diane Marie Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568782068 | NPI | - | NPPES |
| 3259929 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 35073 (Texas) | 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 Diane Marie Boudreaux allows following entities to bill medicare on her behalf.
| Entity Name | On Site Counseling,inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720353048 PECOS PAC ID: 2860656808 Enrollment ID: O20120604000336 |
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| Entity Name | Integrated Behavioral Health & Wellness Consultants, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568805364 PECOS PAC ID: 1951542695 Enrollment ID: O20130723000767 |
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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 Diane Marie 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 |
Dr Diane Marie Boudreaux, PHD 10634 Kings River Dr, Rosharon, TX 77583-4192 Ph: (713) 232-0034 | Dr Diane Marie Boudreaux, PHD 10634 Kings River Dr, Rosharon, TX 77583-4192 Ph: (713) 232-0034 |
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