Dr Marc Anthony Bouchard, DO | |
1615 Delaware St, Longview, WA 98632-2367 | |
(360) 636-4836 | |
(360) 636-6792 |
Full Name | Dr Marc Anthony Bouchard |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 13 Years |
Location | 1615 Delaware St, Longview, Washington |
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 |
---|---|---|---|
1750677605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 0102203346 (Virginia) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | OP60942131 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Goyal Medpsych Inc | 3375978984 | 18 |
Entity Name | Goyal Medpsych Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083260756 PECOS PAC ID: 3375978984 Enrollment ID: O20200108001378 |
Mailing Address | Practice Location Address |
---|---|
Dr Marc Anthony Bouchard, DO 2110 Gallows Rd Ste D, Vienna, VA 22182-3962 Ph: (603) 858-0047 | Dr Marc Anthony Bouchard, DO 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 636-4836 |
Baljinder Singh, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Lawrence H. Neville, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4814 Fax: 360-414-7965 | |
Clifford J Schostal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4814 Fax: 360-414-7965 | |
Robert C Axelrod, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2788 | |
Dr. Yehonatan Shilo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2024 | |
Tsz-ming Chow, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 |