Mrs Laura Anne Boucher-potter, LICSW is a medicare enrolled "Social Worker - Clinical" provider in N Providence, Rhode Island. Her current practice location is
420 Fruit Hill Ave, N Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 353-3900.
Mrs Laura Anne Boucher-potter is licensed to practice in Rhode Island (license number ISW01716) 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 1477694719.
Healthcare Provider's Profile
Full Name | Mrs Laura Anne Boucher-potter |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 420 Fruit Hill Ave, N Providence, Rhode Island |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477694719
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 04/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 3173046109
- Enrollment ID: I20250331001235
Medical Identifiers
Medical identifiers for Mrs Laura Anne Boucher-potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477694719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | ISW01716 (Rhode Island) | Primary |
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. Mrs Laura Anne Boucher-potter 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 |
Mrs Laura Anne Boucher-potter, LICSW 124 Oakland Ave, Cranston, RI 02910 Ph: (401) 270-2606 | Mrs Laura Anne Boucher-potter, LICSW 420 Fruit Hill Ave, N Providence, RI 02911-2626 Ph: (401) 353-3900 |
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