Dr Alison Tisack Boucher, MD in Detroit, MI

Dr Alison Tisack Boucher, MD is a medicare enrolled "Dermatology" physician in Detroit, Michigan. She went to Wayne State University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Henry Ford Medical Group and her current practice location is 3031 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-2151.

Dr Alison Tisack Boucher is licensed to practice in Michigan (license number 4301101370) 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 1174887707.

Contact Information

	Dr Alison Tisack Boucher, MD
	3031 W Grand Blvd, Detroit, MI 48202-3046
	(313) 916-2151
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Alison Tisack Boucher
Gender	Female
Speciality	Dermatology
Experience	12 Years
Location	3031 W Grand Blvd, Detroit, Michigan
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 Alison Tisack Boucher attended and graduated from Wayne State University School Of Medicine in 2012

NPI Data:

NPI Number: 1174887707
Provider Enumeration Date: 06/28/2012
Last Update Date: 02/24/2019

Medicare PECOS Information:

PECOS PAC ID: 1456583178
Enrollment ID: I20160727000293

Medical Identifiers

Medical identifiers for Dr Alison Tisack Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174887707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	4301101370 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124

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 Alison Tisack Boucher allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730252339 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000124

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 Alison Tisack 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 Alison Tisack Boucher, MD 606 N Gainsborough Ave, Royal Oak, MI 48067-1939 Ph: () -	Dr Alison Tisack Boucher, MD 3031 W Grand Blvd, Detroit, MI 48202-3046 Ph: (313) 916-2151

Reviews and Comments

Dermatology Doctors in Detroit, MI

Dr. Laurie Linden Kohen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2171
James A Brown, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 22151 Moross, Suite 234, Detroit, MI 48236 Phone: 313-885-5110 Fax: 313-885-8755
David M. Ozog, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2454
Dr. Emily L. Keimig, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Suite 800, Detroit, MI 48202 Phone: 313-916-2171
Marsha L. Chaffins, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 Phone: 313-916-2454
Dr. Snehal R Desai, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3031 W Grand Blvd, Suite 800, Detroit, MI 48202 Phone: 313-916-2171

Dr Alison Tisack Boucher, MD - Medicare Dermatology in Detroit, MI