Dr. Jason K. Boudreau
D.P.M. | Podiatrist | 28+ years Exp
Medicare Enrolled
2311 N Prospect Ave, Milwaukee
Wisconsin, 53211-4445
414-319-3000 Maps & DirectionsDr. Jason K. Boudreau is a Milwaukee, Wisconsin based podiatrist with 28 years of experience in Podiatry. He completed his graduation in 1997. He is also affiliated with hospitals like Ascension Columbia St Mary's Hospital Milwaukee and Orthopaedic Hospital Of Wi. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jason K. Boudreau for Podiatry is 803-025 in Wisconsin.
Dr. Jason K. Boudreau is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Jason K. Boudreau speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | D.P.M. |
| Experience: | 28+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1997 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2311 N Prospect Ave, Milwaukee,
Wisconsin, 53211-4445 |
| Phone: | 414-319-3000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8426021718 |
| Enrollment ID: | I20040816000505 |
| NPI Number: | 1518959378 |
| NPI Enumeration Date: | 18 Aug, 2005 |
| NPI Last Update On: | 07 Jun, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jason K. Boudreau are as mentioned below.
| License Number | Specialization | State | Status | |
| 803-025 | Podiatry | Wisconsin | Primary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Ascension Columbia St Mary's Hospital Milwaukee (520051) | Milwaukee, WI | Acute Care Hospital |
| Orthopaedic Hospital Of Wi (520194) | Glendale, WI | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jason K. Boudreau is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Columbia St Marys Hospital Milwaukee Inc (5890604722) | 307 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jason K. Boudreau such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 43231600 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing
Glendale, Wisconsin |
| Zip: | 53212-1082 |
| Phone Number: | 414-319-3000 |
| Fax Number: | -- |
Patients can reach Dr. Jason K. Boudreau at
2311 N Prospect Ave, Milwaukee, Wisconsin or can
call to book an appointment on 414-319-3000.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Jason K. Boudreau below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Jason K. Boudreau. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.