Dr Kelly Marie Bouchard, DMD in West Springfield, MA

Dr Kelly Marie Bouchard, DMD is a medicare enrolled "Dentist - General Practice" provider in West Springfield, Massachusetts. Her current practice location is 103 Van Deene Ave, West Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 733-3019.

Dr Kelly Marie Bouchard is licensed to practice in Massachusetts (license number 20552) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316105307.

Contact Information

	Dr Kelly Marie Bouchard, DMD
	103 Van Deene Ave, West Springfield, MA 01089-3200
	(413) 733-3019
	(413) 788-7387

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelly Marie Bouchard
Gender	Female
Speciality	Dentist - General Practice
Location	103 Van Deene Ave, West Springfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316105307
Provider Enumeration Date: 05/28/2008
Last Update Date: 05/28/2008

Medicare PECOS Information:

PECOS PAC ID: 8820318769
Enrollment ID: I20150518000943

Medical Identifiers

Medical identifiers for Dr Kelly Marie Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316105307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	20552 (Massachusetts)	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. Dr Kelly Marie Bouchard 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
Dr Kelly Marie Bouchard, DMD 103 Van Deene Ave, West Springfield, MA 01089-3200 Ph: (413) 733-3019	Dr Kelly Marie Bouchard, DMD 103 Van Deene Ave, West Springfield, MA 01089-3200 Ph: (413) 733-3019

Reviews and Comments

Dentist in West Springfield, MA

Anthony John Zepko, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1284 Elm Street, West Springfield, MA 01089 Phone: 413-733-5994 Fax: 413-746-4151
Jana Sokol, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 935 Riverdale St, West Springfield, MA 01089 Phone: 413-737-1800 Fax: 413-737-1850
Dr. Robert J Weinstock, D.D.S. Dentist Medicare: Accepting Medicare Assignments Practice Location: 75 Van Deene Ave, West Springfield, MA 01089 Phone: 413-788-9621 Fax: 413-788-0103
Katie Joohee Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 935 Riverdale St, West Springfield, MA 01089 Phone: 313-434-5553
Dr. Christopher Robert Desesa, D.M.D. Dentist Medicare: Accepting Medicare Assignments Practice Location: 75 Van Deene Ave, Suite 201, West Springfield, MA 01089 Phone: 413-788-9621 Fax: 413-788-0103
Mikin Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 235b Memorial Ave, West Springfield, MA 01089 Phone: 413-285-8146
John J Walsh, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 935 Riverdale St, West Springfield, MA 01089 Phone: 413-841-0075

Dr Kelly Marie Bouchard, DMD - Medicare Dentist in West Springfield, MA