Mr Thaddeus Jason Boughton, ANP-BC - Medicare Nurse Practitioner in Muscle Shoals, AL

Mr Thaddeus Jason Boughton, ANP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Muscle Shoals, Alabama. He went to Vanderbilt University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 1110 E 6th Street Suite E, Muscle Shoals, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 314-2431.

Mr Thaddeus Jason Boughton is licensed to practice in Alabama (license number 1139488) 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 1043553357.

Contact Information

Mr Thaddeus Jason Boughton, ANP-BC
1110 E 6th Street Suite E,
Muscle Shoals, AL 35661
(256) 314-2431
(256) 314-2435



Provider's Profile

Full NameMr Thaddeus Jason Boughton
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location1110 E 6th Street Suite E, Muscle Shoals, Alabama
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 Thaddeus Jason Boughton attended and graduated from Vanderbilt University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1043553357
  • Provider Enumeration Date: 04/04/2013
  • Last Update Date: 05/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0345476123
  • Enrollment ID: I20131127000458

Medical Identifiers

Medical identifiers for Mr Thaddeus Jason Boughton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043553357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 1139488 (Alabama)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. Mr Thaddeus Jason Boughton allows following entities to bill medicare on his behalf.
Entity NameShoals Primary Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326373861
PECOS PAC ID: 1557406246
Enrollment ID: O20100305000357

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Entity NameDiabetes And Wellness Clinic Of The Shoals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255892865
PECOS PAC ID: 8527394626
Enrollment ID: O20190726002747

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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 Thaddeus Jason Boughton 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 Thaddeus Jason Boughton, ANP-BC
1110 E 6th Street Suite E,
Muscle Shoals, AL 35661-3669

Ph: (256) 314-2431
Mr Thaddeus Jason Boughton, ANP-BC
1110 E 6th Street Suite E,
Muscle Shoals, AL 35661

Ph: (256) 314-2431

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Nurse Practitioner Nurses in Muscle Shoals, AL

Kristy Miles, CRNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 108 Avalon Ave, Muscle Shoals, AL 35661
Phone: 256-389-9300    
Mrs. Melissa Anne Aycock, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 104a Physicians Dr, Muscle Shoals, AL 35661
Phone: 256-383-6070    Fax: 256-381-4022
Jessica Byrd, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 716 State St, Muscle Shoals, AL 35661
Phone: 256-381-6963    Fax: 256-826-0303
Laura Geneva Gilmer, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 210 Avalon Ave, Muscle Shoals, AL 35661
Phone: 256-826-1001    Fax: 256-978-5118
Elizabeth Anne Raper, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Avalon Ave, Suite B, Muscle Shoals, AL 35661
Phone: 256-386-0809    Fax: 256-383-8000
Stacy Davis, ANCC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 503 W State St, Muscle Shoals, AL 35661
Phone: 256-978-4441    

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