Dr Jean-denis Boucher, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Live Oak, Texas. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Lone Star State Dermatology Clinic Pllc and his current practice location is
11101 Toepperwein Rd, Live Oak, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 651-3233.
Dr Jean-denis Boucher is licensed to practice in Texas (license number K8022) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205827532.
Physician's Profile
| Full Name | Dr Jean-denis Boucher |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 46 Years |
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| Location | 11101 Toepperwein Rd, Live Oak, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jean-denis Boucher graduated from medical school in 1978
NPI Data:
- NPI Number: 1205827532
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507760808
- Enrollment ID: I20031119000835
Medical Identifiers
Medical identifiers for Dr Jean-denis Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205827532 | NPI | - | NPPES |
| 0043QR | Other | TX | BC/BS PROVIDER ID |
| 4219937 | Other | TX | BC/BS BLUE LINK I.D. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207NS0135X | Dermatology - Procedural Dermatology | K8022 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lone Star State Dermatology Clinic Pllc | 8426350596 | 2 |
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 Jean-denis Boucher allows following entities to bill medicare on his behalf.
| Entity Name | Lone Star State Dermatology Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053723239
PECOS PAC ID: 8426350596
Enrollment ID: O20160106001130 |
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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 Jean-denis 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 |
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Dr Jean-denis Boucher, MD
Po Box 3112,
Universal City, TX 78148-2212
Ph: (210) 651-3233 | Dr Jean-denis Boucher, MD
11101 Toepperwein Rd,
Live Oak, TX 78233-3143
Ph: (210) 651-3233 |
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