Dr Mark Daniel Bouchard, MD in Issaquah, WA

Dr Mark Daniel Bouchard, MD is a medicare enrolled "Pediatrics" physician in Issaquah, Washington. His current practice location is 751 Ne Blakely Dr Ste 5010, Issaquah, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 394-0700.

Dr Mark Daniel Bouchard is licensed to practice in Washington (license number MD61046264) 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 1316392517.

Contact Information

	Dr Mark Daniel Bouchard, MD
	751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201
	(425) 394-0700
	(425) 394-0757

Map and Direction

Physician's Profile

Full Name	Dr Mark Daniel Bouchard
Gender	Male
Speciality	Pediatrics
Location	751 Ne Blakely Dr Ste 5010, Issaquah, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316392517
Provider Enumeration Date: 04/26/2016
Last Update Date: 01/17/2022

Medicare PECOS Information:

PECOS PAC ID: 4981949690
Enrollment ID: I20191008001416

Medical Identifiers

Medical identifiers for Dr Mark Daniel Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316392517	NPI	-	NPPES
1316392517	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD61046264 (Washington)	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 Mark Daniel Bouchard allows following entities to bill medicare on his behalf.

Entity Name	Sun River Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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 Mark Daniel Bouchard 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 Mark Daniel Bouchard, MD Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476	Dr Mark Daniel Bouchard, MD 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029-6201 Ph: (425) 394-0700

Reviews and Comments

Pediatrics Doctors in Issaquah, WA

Linda S Hung, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029 Phone: 425-391-7337 Fax: 425-391-3915
Haejun Cecilia Ahn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029 Phone: 425-313-7088 Fax: 425-394-0757
Kathrine Ryan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029 Phone: 425-391-7337 Fax: 425-391-3915
Troy Yi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6520 226th Pl Se Ste 100, Issaquah, WA 98027 Phone: 425-394-1680 Fax: 425-394-1674
Tracie O'neill, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029 Phone: 425-391-7337 Fax: 425-391-3915
Mrs. Tiffany Lynne Herr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029 Phone: 425-394-0701
Dr. Sung Eun Park, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1505 Nw Gilman Blvd Ste 8, Issaquah, WA 98027 Phone: 425-357-7082 Fax: 425-437-5259

Dr Mark Daniel Bouchard, MD - Medicare Pediatrics in Issaquah, WA