Donnie D Bouchard, DO is a medicare enrolled "Pediatrics" physician in Hartford, Michigan. His current practice location is
63559 60th Ave, Hartford, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 270-9332.
Donnie D Bouchard is licensed to practice in Michigan (license number 5101011443) 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 1306923313.
Physician's Profile
Full Name | Donnie D Bouchard |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 63559 60th Ave, Hartford, Michigan |
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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: 1306923313
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 02/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 9638119837
- Enrollment ID: I20050506000478
Medical Identifiers
Medical identifiers for Donnie D Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306923313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 5101011443 (Michigan) | Primary |
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. Donnie D Bouchard allows following entities to bill medicare on his behalf.
Entity Name | Holy Family Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710644224 PECOS PAC ID: 7810118999 Enrollment ID: O20141015001737 |
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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. Donnie D 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 |
Donnie D Bouchard, DO 4408 S Westnedge Ave, Kalamazoo, MI 49008-3210 Ph: (269) 270-9332 | Donnie D Bouchard, DO 63559 60th Ave, Hartford, MI 49057-8662 Ph: (269) 270-9332 |
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