Dr Glen Michael Bouchard, DO | |
40 Wright St, Palmer, MA 01069-1138 | |
(413) 284-5308 | |
(413) 284-5413 |
Full Name | Dr Glen Michael Bouchard |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 39 Years |
Location | 40 Wright St, Palmer, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790751667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 000446 (Connecticut) | Secondary |
207P00000X | Emergency Medicine | 78416 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baystate Wing Hospital | Palmer, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baystate Wing Hospital Corporation | 9335048321 | 35 |
Entity Name | Baystate Medical Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
Entity Name | Baystate Wing Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962410233 PECOS PAC ID: 9335048321 Enrollment ID: O20040511000400 |
Mailing Address | Practice Location Address |
---|---|
Dr Glen Michael Bouchard, DO 280 Chestnut St, 2nd Floor, Springfield, MA 01199-1619 Ph: (413) 794-5700 | Dr Glen Michael Bouchard, DO 40 Wright St, Palmer, MA 01069-1138 Ph: (413) 284-5308 |
Zachary C. Demma, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Wright St, Palmer, MA 01069 Phone: 413-284-5308 Fax: 413-284-5413 | |
Brian J Hession, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Wright St, Palmer, MA 01069 Phone: 413-284-5308 Fax: 413-284-5413 | |
Dr. Robert Andrew Spence, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Wright Street, Wing Emergency Services, Palmer, MA 01069 Phone: 413-284-5308 Fax: 413-284-5413 | |
Paul L. Willis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Wright St, Palmer, MA 01069 Phone: 413-283-7651 | |
Janet R Magnani, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 40 Wright St, Wing Memorial Hospital, Palmer, MA 01069 Phone: 413-284-5308 Fax: 413-284-5704 | |
Frederick W Harwick, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Wright St, Wing Memorial Hospital, Palmer, MA 01069 Phone: 413-284-5308 Fax: 413-284-5704 | |
Marame K Gattan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Wright St, Palmer, MA 01069 Phone: 413-284-5308 Fax: 413-284-5413 |