Dr Tina Anne Boucher, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Meriden, Connecticut. She went to Temple University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Easter Seal Rehabilitation Center and her current practice location is
807 Broad St, Meriden, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 238-3668.
Dr Tina Anne Boucher is licensed to practice in Connecticut (license number 0000805) 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 1518945401.
Healthcare Provider's Profile
Full Name | Dr Tina Anne Boucher |
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Gender | Female |
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Speciality | Podiatry |
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Experience | 22 Years |
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Location | 807 Broad St, Meriden, Connecticut |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Tina Anne Boucher attended and graduated from Temple University School Of Medicine in 2002
NPI Data:
- NPI Number: 1518945401
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 05/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 6507883725
- Enrollment ID: I20051027000579
Medical Identifiers
Medical identifiers for Dr Tina Anne Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518945401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 0000805 (Connecticut) | 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. Dr Tina Anne Boucher allows following entities to bill medicare on her behalf.
Provider Name | Central Connecticut Footcare Center, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1679655443 PECOS PAC ID: 9830197839 Enrollment ID: O20061130000273 |
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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. Dr Tina Anne 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 Address | Practice Location Address |
Dr Tina Anne Boucher, DPM 807 Broad St, Meriden, CT 06450-4301 Ph: (203) 238-3668 | Dr Tina Anne Boucher, DPM 807 Broad St, Meriden, CT 06450-4301 Ph: (203) 238-3668 |
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