Dr Marie Christine Boucher, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Mansfield, Connecticut. She went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Oral Surgery. She is a member of the group practice Connecticut Oral And Maxillofacial Surgery Centers, Llc and her current practice location is
10 Higgins Highway, Mansfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 423-2587.
Dr Marie Christine Boucher is licensed to practice in Connecticut (license number 9303) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083793210.
Healthcare Provider's Profile
Full Name | Dr Marie Christine Boucher |
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Gender | Female |
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Speciality | Oral Surgery |
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Experience | 21 Years |
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Location | 10 Higgins Highway, Mansfield, Connecticut |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Marie Christine Boucher attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2003
NPI Data:
- NPI Number: 1083793210
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 12/20/2013
Medicare PECOS Information:
- PECOS PAC ID: 3072533645
- Enrollment ID: I20051128000507
Medical Identifiers
Medical identifiers for Dr Marie Christine Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083793210 | NPI | - | NPPES |
008002392 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9303 (Connecticut) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Connecticut Oral And Maxillofacial Surgery Centers, Llc | 4486568409 | 4 |
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. Dr Marie Christine Boucher allows following entities to bill medicare on her behalf.
Entity Name | Connecticut Oral & Maxillofacial Surgery Centers, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083818710 PECOS PAC ID: 4486568409 Enrollment ID: O20031114000146 |
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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. Dr Marie Christine 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 |
Dr Marie Christine Boucher, DDS 323 Main Street, West Haven, CT 06516 Ph: (203) 937-7181 | Dr Marie Christine Boucher, DDS 10 Higgins Highway, Mansfield, CT 06250 Ph: (860) 423-2587 |
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