Dr Liberty Ann Boucher, DDS - Medicare Dentist in Glendale, WI

Dr Liberty Ann Boucher, DDS is a medicare enrolled "Dentist - General Practice" provider in Glendale, Wisconsin. Her current practice location is 7040 N Port Washington Rd, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 351-6010.

Dr Liberty Ann Boucher is licensed to practice in Wisconsin (license number 6297-15) 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 1114183126.

Contact Information

Dr Liberty Ann Boucher, DDS
7040 N Port Washington Rd,
Glendale, WI 53217-3838
(414) 351-6010
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Liberty Ann Boucher
GenderFemale
SpecialityDentist - General Practice
Location7040 N Port Washington Rd, Glendale, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114183126
  • Provider Enumeration Date: 07/30/2008
  • Last Update Date: 07/30/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5294056230
  • Enrollment ID: I20150603000873

Medical Identifiers

Medical identifiers for Dr Liberty Ann Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114183126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 6297-15 (Wisconsin)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. Dr Liberty Ann 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 AddressPractice Location Address
Dr Liberty Ann Boucher, DDS
4037 N Downer Ave,
Shorewood, WI 53211-2127

Ph: (414) 418-2280
Dr Liberty Ann Boucher, DDS
7040 N Port Washington Rd,
Glendale, WI 53217-3838

Ph: (414) 351-6010

Reviews and Comments


Dentist in Glendale, WI

Dr. Christopher Patrick Mcaboy, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 377 W River Woods Parkway, Suite #120, Glendale, WI 53212
Phone: 414-906-8940    Fax: 414-906-8950
Dr. Mehran Mehrabi, MD, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 500 W Silver Spring Dr, Suite 250 K, Glendale, WI 53217
Phone: 414-475-9632    Fax: 414-963-0413
Maryam Tunio, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5623 N Green Bay Ave, Glendale, WI 53209
Phone: 414-228-3000    
Dr. William C. Dowsett, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6916 N Port Washington Rd, Glendale, WI 53217
Phone: 414-540-9530    
Roman Gorodesky, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 7101 N Green Bay Ave, Ste 10, Glendale, WI 53209
Phone: 414-351-0510    Fax: 414-351-1440
Dr. Amanda Lathe, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7155 N Port Washington Rd, Glendale, WI 53217
Phone: 414-928-2518    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.