Dr John Mark Bouchillon, MD in Peterson Afb, CO

Dr John Mark Bouchillon, MD is a medicare enrolled "Pediatrics" physician in Peterson Afb, Colorado. His current practice location is 559 Vincent St, Attn: 21 Hcos/sgoc - Pediatrics, Peterson Afb, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 556-1197.

Dr John Mark Bouchillon is licensed to practice in Alabama (license number MD.35462) 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 1386030476.

Contact Information

	Dr John Mark Bouchillon, MD
	559 Vincent St, Attn: 21 Hcos/sgoc - Pediatrics, Peterson Afb, CO 80914-1540
	(719) 556-1197
	(877) 813-1756

Map and Direction

Physician's Profile

Full Name	Dr John Mark Bouchillon
Gender	Male
Speciality	Pediatrics
Location	559 Vincent St, Peterson Afb, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386030476
Provider Enumeration Date: 04/15/2015
Last Update Date: 09/12/2019

Medicare PECOS Information:

PECOS PAC ID: 2668780602
Enrollment ID: I20180814001463

Medical Identifiers

Medical identifiers for Dr John Mark Bouchillon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386030476	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD.35462 (Alabama)	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. Dr John Mark Bouchillon allows following entities to bill medicare on his behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

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 John Mark Bouchillon 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 John Mark Bouchillon, MD 559 Vincent St, Attn: 21 Hcos/sgoc - Pediatrics, Peterson Afb, CO 80914-1540 Ph: (719) 556-1197	Dr John Mark Bouchillon, MD 559 Vincent St, Attn: 21 Hcos/sgoc - Pediatrics, Peterson Afb, CO 80914-1540 Ph: (719) 556-1197

Reviews and Comments

Pediatrics Doctors in Peterson Afb, CO

Susan Ott Moran, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Attn: 21 Mdg/cc, Peterson Afb, CO 80914 Phone: 719-556-1250 Fax: 866-867-7926
Dr. Matthew Sean Mcdonough, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 559 Vincent St, Attn 21mdos/sgoc - Pediatrics, Peterson Afb, CO 80914 Phone: 719-556-1197 Fax: 866-867-7926

Dr John Mark Bouchillon, MD - Medicare Pediatrics in Peterson Afb, CO