Alex Boucher, DMD is a medicare enrolled "Dentist - General Practice" provider in Madawaska, Maine. His current practice location is
309 Saint Thomas St Ste 213, Madawaska, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 728-3971.
Alex Boucher is licensed to practice in Maine (license number DEN4730) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033778246.
Healthcare Provider's Profile
Full Name | Alex Boucher |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 309 Saint Thomas St Ste 213, Madawaska, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033778246
- Provider Enumeration Date: 06/11/2019
- Last Update Date: 06/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800122607
- Enrollment ID: I20190801000687
Medical Identifiers
Medical identifiers for Alex Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033778246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DEN4730 (Maine) | Primary |
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. Alex Boucher 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 Address | Practice Location Address |
Alex Boucher, DMD 88 St John Rd, Fort Kent, ME 04743-2208 Ph: (207) 521-4985 | Alex Boucher, DMD 309 Saint Thomas St Ste 213, Madawaska, ME 04756-1278 Ph: (207) 728-3971 |
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