Ebony Beaudoin

MD | Pediatric Emergency Medicine | Female

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Complete Profile:

Ebony Beaudoin basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Ebony Beaudoin
Credential :	MD
Gender :	Female

Business Address:

Ebony Beaudoin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	6410 Fannin St, Suite 500 Houston, TX, 77030-3000 United States
Phone Number :	832-325-7111
Fax Number :	713-512-2227

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.

NPI Number :	1124053095
NPI Entity Type :	Individual
First Enrolment Date :	11 Jul, 2006
Last Updated On :	05 Nov, 2020

Medicare Participation:

Ebony Beaudoin participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1951333525
Medicare Enrollment ID :	I20050902000509
Primary Specialty :	Pediatric Medicine
Medical School :	Meharry Medical College School Of Medicine
Graduation Year :	2002
Accepts Medicare?	Yes. Ebony Beaudoin accepts medicare insurance.

Group Practice Association:

Ebony Beaudoin is associated with following Group Practice Organizations. 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 Ebony Beaudoin is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ut Physicians	8426960360	1336	6410 Fannin 210 Ut Physicians Maternal Fetal Medicine Houston, TX - 770303000 Ph: 8323257133	Yes
Ut Physicians	8426960360	1336	6410 Fannin St Houston, TX - 770303000	Yes
Ut Physicians	8426960360	1336	6410 Fannin 720 Gulf States Hemphilia/thrombophilia Clinic Houston, TX - 770303005 Ph: 7135008360	Yes
Ut Physicians	8426960360	1336	6410 Fannin St Houston, TX - 770303005	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ebony Beaudoin are as mentioned. Primary taxonomy code for Ebony Beaudoin, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	M2203	TX

Legacy Identifiers:

Other legacy medical identifiers of Ebony Beaudoin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
176422501	MEDICAID	TX
190090401	MEDICAID	TX
8U5760	Other	TX	BCBS

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 201088 Houston, TX, 77216-1088 United States
Phone Number :	713-500-3500

Business Location:

Patients can refer following map for directions to Ebony Beaudoin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.