Ms Debra Anne Marie Boucaud, NP | |
24 Hospital Ln, Calais, ME 04619-1329 | |
(479) 926-9355 | |
Not Available |
Full Name | Ms Debra Anne Marie Boucaud |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 24 Hospital Ln, Calais, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154549632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 8816 (Connecticut) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 30304076 (New York) | Secondary |
Entity Name | Mercy Clinic Fort Smith Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
Mailing Address | Practice Location Address |
---|---|
Ms Debra Anne Marie Boucaud, NP 7440 Molas Rd Nw, Albuquerque, NM 87114-6435 Ph: (479) 522-4771 | Ms Debra Anne Marie Boucaud, NP 24 Hospital Ln, Calais, ME 04619-1329 Ph: (479) 926-9355 |
Blaire A Siefken, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Hospital Ln, Calais, ME 04619 Phone: 207-454-7521 Fax: 207-454-3616 | |
Christopher G Scalabrin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 Palmer St, Calais, ME 04619 Phone: 207-454-8195 Fax: 207-454-3840 | |
Mrs. Elizabeth Mae Incannella, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 Palmer St Ste 2, Calais, ME 04619 Phone: 207-454-9516 | |
Sarah Leigh Buydos, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ln, Calais, ME 04619 Phone: 207-454-7521 | |
Melissa Diana Mckenzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 Palmer St Ste 1, Calais, ME 04619 Phone: 207-454-7521 Fax: 207-454-3616 | |
Mrs. Karen E Cole, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43 Union St Ste 6, Calais, ME 04619 Phone: 207-952-3965 Fax: 207-904-0410 |