Emily Brooke Boucher, PA-C - Medicare Physician Assistant in Kettering, OH

Emily Brooke Boucher, PA-C is a medicare enrolled "Physician Assistant" in Kettering, Ohio. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 3737 Southern Blvd, Boonshoft Bld. Floor E, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 294-1489.

Emily Brooke Boucher is licensed to practice in * (Not Available) (license number 50.006744RX) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255933263.

Contact Information

Emily Brooke Boucher, PA-C
3737 Southern Blvd, Boonshoft Bld. Floor E,
Kettering, OH 45429
(937) 294-1489
Not Available

Map and Direction




Provider's Profile

Full NameEmily Brooke Boucher
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location3737 Southern Blvd, Kettering, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Emily Brooke Boucher graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1255933263
  • Provider Enumeration Date: 11/13/2020
  • Last Update Date: 03/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1557774411
  • Enrollment ID: I20210113002761

Medical Identifiers

Medical identifiers for Emily Brooke Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255933263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1160683 (Ohio)Secondary
363A00000XPhysician Assistant 50.006744RX (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kettering Medical CenterKettering, OHHospital
Soin Medical CenterBeaver creek, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936577

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. Emily Brooke Boucher 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 AddressPractice Location Address
Emily Brooke Boucher, PA-C
1 Prestige Pl Ste 550,
Miamisburg, OH 45342-6115

Ph: (937) 762-1306
Emily Brooke Boucher, PA-C
3737 Southern Blvd, Boonshoft Bld. Floor E,
Kettering, OH 45429

Ph: (937) 294-1489

Reviews and Comments


Physician Assistant Nurses in Kettering, OH

Milena Menchaca, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    
Annabeth Pruett Barry, PA-C, MBA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 424 E Stroop Rd Unit B, Kettering, OH 45429
Phone: 937-562-2300    Fax: 937-562-2302
Miss Kathryn Paige Schwendler, MPAS, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    
Michael D Kelley, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-6665    Fax: 937-395-6668
Marie Therese Mualla Oram, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429
Phone: 937-643-9299    Fax: 937-643-2343
Mr. David Evans, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3533 Southern Blvd Ste 2250, Kettering, OH 45429
Phone: 937-534-0330    Fax: 937-522-8995
Julie C Williams, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.