ALEXANDRA BOUDREAU DDS - NPI 1316267701 - Dentist in Southern Pines, NC

Q: What is Alexandra Boudreau's NPI number?

The NPI number for Alexandra Boudreau is 1316267701. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Q: What is Alexandra Boudreau's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

On this page

About Alexandra Boudreau Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA BOUDREAU DDS (NPI 1316267701) is an individual dentist in Southern Pines, North Carolina, licensed in North Carolina (8964) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316267701

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameALEXANDRA BOUDREAUCredential: DDS

Location Address105 PERRY DRSouthern Pines, NC 28387-7019

Mailing Address105 Perry DrSouthern Pines, NC 28387-7019 · (910) 692-5111 · Fax (910) 692-1003

Phone(910) 692-5111

Fax(910) 692-1003

Sole ProprietorNo

Enumeration DateJune 8, 2010

✔ NPI 1316267701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NC · 8964

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

105 PERRY DR, Southern Pines, NC 28387

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Boudreau Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANE SESSLER DDS

Dentist