Kevin Robert Bouchard-hall, PHYSICAL THERAPY in Elizabethtown, NY

Kevin Robert Bouchard-hall, PHYSICAL THERAPY is a medicare enrolled "Physical Therapist" provider in Elizabethtown, New York. His current practice location is 66 Park Street, Suite 100, Elizabethtown, New York. You can reach out to his office (for appointments etc.) via phone at (518) 873-2408.

Kevin Robert Bouchard-hall is licensed to practice in New York (license number P75321) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710291356.

Contact Information

	Kevin Robert Bouchard-hall, PHYSICAL THERAPY
	66 Park Street, Suite 100, Elizabethtown, NY 12932-0000
	(518) 873-2408
	(518) 873-3205

Map and Direction

Healthcare Provider's Profile

Full Name	Kevin Robert Bouchard-hall
Gender	Male
Speciality	Physical Therapist
Location	66 Park Street, Elizabethtown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710291356
Provider Enumeration Date: 08/05/2010
Last Update Date: 08/05/2010

Medicare PECOS Information:

PECOS PAC ID: 7810343712
Enrollment ID: I20231030001352

Medical Identifiers

Medical identifiers for Kevin Robert Bouchard-hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710291356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P75321 (New York)	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. Kevin Robert Bouchard-hall allows following entities to bill medicare on his behalf.

Provider Name	Elizabethtown Community Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053656744 PECOS PAC ID: 3577554138 Enrollment ID: O20040521000534

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. Kevin Robert Bouchard-hall 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
Kevin Robert Bouchard-hall, PHYSICAL THERAPY 75 Park St, Elizabethtown, NY 12932 Ph: (518) 873-2408	Kevin Robert Bouchard-hall, PHYSICAL THERAPY 66 Park Street, Suite 100, Elizabethtown, NY 12932-0000 Ph: (518) 873-2408

Reviews and Comments

Physical Therapist in Elizabethtown, NY

Michael J Richards, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Park Street, Elizabethtown, NY 12932 Phone: 518-873-2408
Dr. Sarah E Gardner, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 75 Park Street, Elizabethtown, NY 12932 Phone: 518-873-6377 Fax: 518-873-3097
Mr. William Patrick Doherty, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 75 Park St, Elizabethtown, NY 12932 Phone: 518-873-2408 Fax: 518-873-3205
Linda Mary Horizny, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Park St, Elizabethtown, NY 12932 Phone: 518-873-2408
Dawn Delmont Klotzko, MS, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Park Street, Elizabethtown, NY 12932 Phone: 518-873-6377 Fax: 518-873-3097
Daniel A Weber, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Park St, Elizabethtown, NY 12932 Phone: 518-873-2408 Fax: 518-873-3205

Kevin Robert Bouchard-hall, PHYSICAL THERAPY - Medicare Physical Therapist in Elizabethtown, NY