Thaddeus Stanice Boucree, MD, DDS is a medicare enrolled "Plastic Surgery" provider in Shrewsbury, New Jersey. His current practice location is
535 Sycamore Ave, Shrewsbury, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 741-0970.
Thaddeus Stanice Boucree is licensed to practice in New Jersey (license number 25MA10083000) 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 1942464417.
Healthcare Provider's Profile
Full Name | Thaddeus Stanice Boucree |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 535 Sycamore Ave, Shrewsbury, New Jersey |
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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: 1942464417
- Provider Enumeration Date: 07/15/2008
- Last Update Date: 06/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 3072749076
- Enrollment ID: I20170919003562
Medical Identifiers
Medical identifiers for Thaddeus Stanice Boucree such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942464417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 25MA10083000 (New Jersey) | Secondary |
208200000X | Plastic Surgery | 25MA10083000 (New Jersey) | 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. Thaddeus Stanice Boucree allows following entities to bill medicare on his behalf.
Entity Name | The Plastic Surgery Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386613834 PECOS PAC ID: 8921060484 Enrollment ID: O20041028000139 |
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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. Thaddeus Stanice Boucree 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 |
Thaddeus Stanice Boucree, MD, DDS 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 Ph: (732) 741-0970 | Thaddeus Stanice Boucree, MD, DDS 535 Sycamore Ave, Shrewsbury, NJ 07702 Ph: (732) 741-0970 |
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