| Dr Marc Anthony Bouchard, DO | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 636-4836 | |
| (360) 636-6792 |
| Full Name | Dr Marc Anthony Bouchard |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 15 Years |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750677605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0102203346 (Virginia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OP60942131 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 5890689293 | 181 |
| Providence Health And Services Washington | 6709782600 | 428 |
| Goyal Medpsych Inc | 3375978984 | 24 |
| The Moses H Cone Memorial Hospital Operating Corporation | 6204744600 | 599 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc Anthony Bouchard, DO 2110 Gallows Rd Ste D, Vienna, VA 22182-3962 Ph: (603) 858-0047 | Dr Marc Anthony Bouchard, DO 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 636-4836 |
Baljinder Singh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Lawrence H. Neville, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4814 Fax: 360-414-7965 | |
Clifford J Schostal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4814 Fax: 360-414-7965 | |
Robert C Axelrod, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2788 | |
Dr. Yehonatan Shilo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2024 | |
Tsz-ming Chow, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 |