Dr. Jason K. Boudreau is a Milwaukee, Wisconsin based male podiatrist with 27 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:
Podiatrist
Credentials:
D.P.M.
Experience:
27+ 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:
Surgeons 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:
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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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.