Dr Mark Daniel Bouchard, MD - Medicare Pediatrics in Issaquah, WA

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Dr Mark Daniel Bouchard, MD is a medicare enrolled "Pediatrics" physician in Issaquah, Washington. His current practice location is 751 Ne Blakely Dr Ste 5010, Issaquah, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 394-0700.

Dr Mark Daniel Bouchard is licensed to practice in Washington (license number MD61046264) 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 1316392517.

Contact Information

Dr Mark Daniel Bouchard, MD
751 Ne Blakely Dr Ste 5010,
Issaquah, WA 98029-6201
(425) 394-0700
(425) 394-0757

Map and Direction




Physician's Profile

Full NameDr Mark Daniel Bouchard
GenderMale
SpecialityPediatrics
Location751 Ne Blakely Dr Ste 5010, Issaquah, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316392517
  • Provider Enumeration Date: 04/26/2016
  • Last Update Date: 01/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981949690
  • Enrollment ID: I20210119001532

Medical Identifiers

Medical identifiers for Dr Mark Daniel Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316392517NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD61046264 (Washington)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. Dr Mark Daniel Bouchard allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454
Entity NameProvidence Health & Services- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124270715
PECOS PAC ID: 8325100480
Enrollment ID: O20081224000111

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 Mark Daniel Bouchard 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 Mark Daniel Bouchard, MD
Po Box 25608,
Salt Lake City, UT 84125-0608

Ph: (206) 320-4476		Dr Mark Daniel Bouchard, MD
751 Ne Blakely Dr Ste 5010,
Issaquah, WA 98029-6201

Ph: (425) 394-0700

Reviews and Comments


Pediatrics Doctors in Issaquah, WA

Linda S Hung, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029
Phone: 425-391-7337    Fax: 425-391-3915
Haejun Cecilia Ahn, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029
Phone: 425-313-7088    Fax: 425-394-0757
Kathrine Ryan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029
Phone: 425-391-7337    Fax: 425-391-3915
Troy Yi, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6520 226th Pl Se Ste 100, Issaquah, WA 98027
Phone: 425-394-1680    Fax: 425-394-1674
Tracie O'neill, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029
Phone: 425-391-7337    Fax: 425-391-3915
Mrs. Tiffany Lynne Herr, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029
Phone: 425-394-0701    
Dr. Sung Eun Park, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1505 Nw Gilman Blvd Ste 8, Issaquah, WA 98027
Phone: 425-357-7082    Fax: 425-437-5259

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.