Thaddeus Stanice Boucree, MD, DDS is a medicare enrolled "Plastic Surgery" provider in Shrewsbury, New Jersey. He went to Meharry Medical College School Of Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Vohra Wound Physicians Of Ny Pllc and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942464417.
Healthcare Provider's Profile
| Full Name | Thaddeus Stanice Boucree |
|---|
| Gender | Male |
|---|
| Speciality | General Surgery |
|---|
| Experience | 19 Years |
|---|
| Location | 535 Sycamore Ave, Shrewsbury, New Jersey |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Thaddeus Stanice Boucree attended and graduated from Meharry Medical College School Of Medicine in 2007
NPI Data:
- NPI Number: 1942464417
- Provider Enumeration Date: 07/15/2008
- Last Update Date: 09/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072749076
- Enrollment ID: I20240307002006
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 |
| 208200000X | Plastic Surgery | 301972 (New York) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vohra Wound Physicians Of Ny Pllc | 0446410435 | 35 |
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 | Vohra Wound Physicians Of Ny Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1447527320
PECOS PAC ID: 0446410435
Enrollment ID: O20120404000465 |
|---|
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 |
Reviews and Comments