Mr Mark A Bouchillon, DDS in Warren, MI - Medicare Dentist Provider

Mr Mark A Bouchillon, DDS is a medicare enrolled "Dentist" provider in Warren, Michigan. His current practice location is 13403 13 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 979-2800.

Mr Mark A Bouchillon is licensed to practice in Michigan (license number 2901013126) 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 1023109972.

Contact Information

	Mr Mark A Bouchillon, DDS
	13403 13 Mile Rd, Warren, MI 48088
	(586) 979-2800
	(586) 979-2720

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark A Bouchillon
Gender	Male
Speciality	Dentist
Location	13403 13 Mile Rd, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023109972
Provider Enumeration Date: 09/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1951608512
Enrollment ID: I20160324001793

Medical Identifiers

Medical identifiers for Mr Mark A Bouchillon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023109972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901013126 (Michigan)	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. Mr Mark A Bouchillon 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
Mr Mark A Bouchillon, DDS 13403 13 Mile Rd, Warren, MI 48088 Ph: (586) 979-2800	Mr Mark A Bouchillon, DDS 13403 13 Mile Rd, Warren, MI 48088 Ph: (586) 979-2800

Reviews and Comments

Dentist in Warren, MI

Terry Cooper Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8216 E 12 Mile Rd, Warren, MI 48093 Phone: 586-574-2323 Fax: 586-574-0723
Dr. Bernard Lewis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 30825 Ryan Rd, Warren, MI 48092 Phone: 586-751-2900 Fax: 586-751-5224
Ronald Scott Goodman, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 28478 Dequindre Rd, Warren, MI 48092 Phone: 586-574-2620 Fax: 586-574-4560
Dr. Gregory Scott Apsey, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11270 E 13 Mile Rd, Suite #1a, Warren, MI 48093 Phone: 586-573-7700 Fax: 586-573-7704
Carlos Antonio Ramirez-neyra, MD, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 11900 E 12 Mile Rd Ste 308, Warren, MI 48093 Phone: 586-582-7100 Fax: 586-576-4344
Dr. Jae Joon Ma, DDS Dentist Medicare: Medicare Enrolled Practice Location: 26113 Hoover Rd, Warren, MI 48089 Phone: 586-393-5686

Mr Mark A Bouchillon, DDS - Medicare Dentist in Warren, MI