Traci Ann Bouchard, MD in Columbus, OH

Traci Ann Bouchard, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Columbus, Ohio. Her current practice location is 700 Childrens Dr, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 722-2000.

Traci Ann Bouchard is licensed to practice in Ohio (license number 35136700) 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 1902869324.

Contact Information

	Traci Ann Bouchard, MD
	700 Childrens Dr, Columbus, OH 43205-2664
	(614) 722-2000
	(614) 722-4380

Map and Direction

Physician's Profile

Full Name	Traci Ann Bouchard
Gender	Female
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	700 Childrens Dr, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902869324
Provider Enumeration Date: 04/07/2006
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 3274609185
Enrollment ID: I20160919001428

Medical Identifiers

Medical identifiers for Traci Ann Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902869324	NPI	-	NPPES
0351547	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	35136700 (Ohio)	Primary
208000000X	Pediatrics	35136700 (Ohio)	Secondary

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. Traci Ann Bouchard allows following entities to bill medicare on her behalf.

Entity Name	Kentucky Medical Services Foundation, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326091448 PECOS PAC ID: 5698689909 Enrollment ID: O20031119000300

Entity Name	Lake Cumberland Regional Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861078685 PECOS PAC ID: 7214909456 Enrollment ID: O20040809001229

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. Traci Ann 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
Traci Ann Bouchard, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000	Traci Ann Bouchard, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000

Reviews and Comments

Pediatrics Doctors in Columbus, OH

Amrik Singh Khalsa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000 Fax: 614-722-4966
Sara Foley Schroder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2857 W Broad St, Columbus, OH 43204 Phone: 614-722-6200
Mr. Christopher Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000
Claire Elizabeth Christian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000
Laura Gardner Hamant, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000
Valentina Gutierrez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 80 E Rich St Apt 819, Columbus, OH 43215 Phone: 380-242-1699
Leif Daniel Nelin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-4559 Fax: 614-722-4541

Traci Ann Bouchard, MD - Medicare Pediatrics in Columbus, OH