Jessica Elaine Bouchard, in Livermore, CA - Medicare Physical Therapist Provider

Jessica Elaine Bouchard, is a medicare enrolled "Physical Therapist" provider in Livermore, California. Her current practice location is 2492 Nissen Dr, Livermore, California. You can reach out to her office (for appointments etc.) via phone at (925) 980-8130.

Jessica Elaine Bouchard is licensed to practice in California (license number 304277) 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 1528840600.

Contact Information

	Jessica Elaine Bouchard,
	2492 Nissen Dr, Livermore, CA 94551-7704
	(925) 980-8130
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Elaine Bouchard
Gender	Female
Speciality	Physical Therapist
Location	2492 Nissen Dr, Livermore, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528840600
Provider Enumeration Date: 10/16/2023
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 0446608988
Enrollment ID: I20231122001463

Medical Identifiers

Medical identifiers for Jessica Elaine Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528840600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	304277 (California)	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. Jessica Elaine Bouchard allows following entities to bill medicare on her behalf.

Provider Name	Dublin Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548408735 PECOS PAC ID: 6507916483 Enrollment ID: O20090616000111

Provider Name	Sports & Orthopedic Leaders Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1013981760 PECOS PAC ID: 0446146708 Enrollment ID: O20090729000913

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. Jessica Elaine 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
Jessica Elaine Bouchard, 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: () -	Jessica Elaine Bouchard, 2492 Nissen Dr, Livermore, CA 94551-7704 Ph: (925) 980-8130

Reviews and Comments

Physical Therapist in Livermore, CA

Kenneth David Randall, MPT. GCS. ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4951 Arroyo Rd, Livermore, CA 94550 Phone: 925-373-4700 Fax: 925-449-6520
Ashley Schempp, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Fenton St, Livermore, CA 94550 Phone: 925-373-9394
Mr. Kevin M Ochs, MPT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4951 Arroyo Rd, Veterans Affairs Hospital, M/s 117 Lvd, Livermore, CA 94550 Phone: 925-373-4700
James Muller, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 E Stanley Blvd # D, Ste 112, Livermore, CA 94550 Phone: 925-243-1385 Fax: 925-243-0127
Dr. James William Bateman, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3848 Madeira Way, Livermore, CA 94550 Phone: 925-783-9043
Gregory Tam, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2492 Nissen Dr, Livermore, CA 94551 Phone: 925-980-8130
Angelika Voss-quinn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1080 Concannon Blvd, Livermore, CA 94550 Phone: 925-443-9030

Jessica Elaine Bouchard, - Medicare Physical Therapist in Livermore, CA