Mr Jeremy Paul Boudreaux, LCSW - Medicare Clinical Social Worker in Madison, WI

Mr Jeremy Paul Boudreaux, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Madison, Wisconsin. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice University Of Wisconsin Medical Foundation Inc and his current practice location is 615 N Sherman Ave Ste 24, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 445-2510.

Mr Jeremy Paul Boudreaux is licensed to practice in Wisconsin (license number 10072-123) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790247757.

Contact Information

Mr Jeremy Paul Boudreaux, LCSW
615 N Sherman Ave Ste 24,
Madison, WI 53704-4457
(608) 445-2510
(262) 293-9777



Healthcare Provider's Profile

Full NameMr Jeremy Paul Boudreaux
GenderMale
SpecialityClinical Social Worker
Experience12 Years
Location615 N Sherman Ave Ste 24, Madison, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jeremy Paul Boudreaux graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1790247757
  • Provider Enumeration Date: 04/01/2019
  • Last Update Date: 04/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3577805084
  • Enrollment ID: I20220524001660

Medical Identifiers

Medical identifiers for Mr Jeremy Paul Boudreaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790247757NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 22128 (Wisconsin)Secondary
1041C0700XSocial Worker - Clinical 149020671 (Illinois)Secondary
1041C0700XSocial Worker - Clinical 10072-123 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Wisconsin Medical Foundation Inc66087854642164

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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. Mr Jeremy Paul Boudreaux allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435

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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. Mr Jeremy Paul 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 AddressPractice Location Address
Mr Jeremy Paul Boudreaux, LCSW
615 N Sherman Ave Ste 24,
Madison, WI 53704-4457

Ph: (608) 445-2510
Mr Jeremy Paul Boudreaux, LCSW
615 N Sherman Ave Ste 24,
Madison, WI 53704-4457

Ph: (608) 445-2510

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Social Worker in Madison, WI

Ms. Leah Allison Finch, CAPSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Overlook Ter, Madison, WI 53705
Phone: 608-256-1901    
Mr. Thomas A Oconnor, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5534 Medical Circle, Madison, WI 53719
Phone: 608-274-0355    Fax: 608-274-5546
Ms. Fran L Degraff, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2727 Marshall Ct, Madison, WI 53705
Phone: 608-238-9354    Fax: 608-238-7675
Thorsten W. Horton, PHD
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 700 Ray O Vac Dr, Suite 220, Madison, WI 53711
Phone: 608-276-9191    Fax: 608-276-9144
Jennifer J Ebbott, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 831 E Washington Ave, Madison, WI 53703
Phone: 608-255-7356    
Erin Thomson, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Highland Ave, Room 102, Madison, WI 53705
Phone: 608-263-5815    
Julia Rhodes, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 700 Rayovac Dr, Ste 103, Madison, WI 53711
Phone: 608-238-5826    

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