Matthew Charles Bouche, PT, CSCS in St. Paul, MN - Medicare Physical Therapy Provider

Matthew Charles Bouche, PT, CSCS is a medicare enrolled "Physical Therapist - Sports" provider in St. Paul, Minnesota. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Tria Orthopaedic Center Llc and his current practice location is 2155 Ford Parkway, St. Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 696-5010.

Matthew Charles Bouche is licensed to practice in Minnesota (license number 11806) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033785027.

Contact Information

	Matthew Charles Bouche, PT, CSCS
	2155 Ford Parkway, St. Paul, MN 55116-1862
	(651) 696-5010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Charles Bouche
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	2155 Ford Parkway, St. Paul, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Matthew Charles Bouche graduated from medical school in 2020

NPI Data:

NPI Number: 1033785027
Provider Enumeration Date: 06/01/2021
Last Update Date: 06/01/2021

Medicare PECOS Information:

PECOS PAC ID: 7214337476
Enrollment ID: I20210610001063

Medical Identifiers

Medical identifiers for Matthew Charles Bouche such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033785027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	11806 (Minnesota)	Secondary
2251S0007X	Physical Therapist - Sports	11806 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tria Orthopaedic Center Llc	3173570561	362

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. Matthew Charles Bouche allows following entities to bill medicare on his behalf.

Provider Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Provider Name	Tria Orthopaedic Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999

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. Matthew Charles Bouche 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
Matthew Charles Bouche, PT, CSCS 3519 Sawgrass Trl E, Eagan, MN 55123-1367 Ph: (920) 621-7074	Matthew Charles Bouche, PT, CSCS 2155 Ford Parkway, St. Paul, MN 55116-1862 Ph: (651) 696-5010

Reviews and Comments

Physical Therapist in St. Paul, MN

Ms. Jacqueline Kay Harry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Medcentra, 225 N. Smith Ave, Suite 301, St. Paul, MN 55102 Phone: 651-288-5180
Alice Mangen Engelhardt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, St. Paul, MN 55101 Phone: 651-254-2032
Mrs. Mary E. A. Horoshak, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 S Wabasha St, Suite 130, St. Paul, MN 55107 Phone: 651-290-7047
Jennifer L Steele, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: United Hospital, 333 North Smith Avenue, St. Paul, MN 55102 Phone: 651-241-8290
Linda Reinhart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, St. Paul, MN 55101 Phone: 651-254-3071 Fax: 651-254-0910
Mrs. Jennifer Lyn Sherman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, St. Paul, MN 55102 Phone: 651-241-8290

Matthew Charles Bouche, PT, CSCS - Medicare Physical Therapist in St. Paul, MN