Kathy Davis Gauthier, PA-C is a medicare enrolled "Physician Assistant" physician in Boston, Massachusetts. Her current practice location is
75 Francis St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 732-5500.
Kathy Davis Gauthier is licensed to practice in Massachusetts (license number PA4555) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992747141.
Physician's Profile
| Full Name | Kathy Davis Gauthier |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 75 Francis St, Boston, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992747141
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 11/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 5799793659
- Enrollment ID: I20141020001354
Medical Identifiers
Medical identifiers for Kathy Davis Gauthier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992747141 | NPI | - | NPPES |
| 010504 | Other | | CONNECTICARE |
| 290001054CT05 | Other | | ANTHEM/ECCD:06-1616101 |
| 2V7415 | Other | | HELATHNET/ECCD:06-1616101 |
| 06-1616101 | Other | | COMM. HEALTH NETWORK/ECCD |
| 06-1049086 | Other | | COMM. HEALTH NETWORK/ECCG |
| 290001054CT03 | Other | | ANTHEM/ECCGH:06-1049086 |
| 2V7414 | Other | | HEALTHNET/ECCG:06-1049086 |
| 500HBC444CT01 | Other | | ANTHEM:HOSP-BASED ECCD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 1054 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | 001054 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | PA4555 (Massachusetts) | Primary |
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. Kathy Davis Gauthier 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 |
|---|
Kathy Davis Gauthier, PA-C
75 Francis St,
Boston, MA 02115-6110
Ph: (617) 732-5500 | Kathy Davis Gauthier, PA-C
75 Francis St,
Boston, MA 02115-6110
Ph: (617) 732-5500 |
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