| Dr Martin J Boucher, MD | |
|
46 Blueberry Hl, Wolfeboro, NH 03894-4526 | |
| (603) 569-6323 | |
| Not Available |
| Full Name | Dr Martin J Boucher |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 46 Blueberry Hl, Wolfeboro, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174598510 | NPI | - | NPPES |
| 383833 | Other | NH | MVP |
| E68456 | Other | NH | HARVARD PILGRIM HLTHCARE |
| 0107072Y0NH01 | Other | NH | ANTHEM |
| 3422723 | Other | NH | AETNA |
| 30002969 | Medicaid | NH | |
| 9692314 | Other | NH | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 8070 (New Hampshire) | Secondary |
| 207R00000X | Internal Medicine | 8070 (New Hampshire) | Primary |
| Entity Name | Lrghealthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700976032 PECOS PAC ID: 8820908189 Enrollment ID: O20040303000982 |
| Entity Name | Concord Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194778571 PECOS PAC ID: 6103721790 Enrollment ID: O20040405000916 |
| Entity Name | Concord Hospital-laconia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053993741 PECOS PAC ID: 7012326259 Enrollment ID: O20210429001355 |
| Entity Name | Concord Hospital - Franklin |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700960895 PECOS PAC ID: 4183033293 Enrollment ID: O20210504000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin J Boucher, MD 46 Blueberry Hl, Wolfeboro, NH 03894-4526 Ph: (603) 569-6323 | Dr Martin J Boucher, MD 46 Blueberry Hl, Wolfeboro, NH 03894-4526 Ph: (603) 569-6323 |
Kaylyn Kirk, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 S Main St Ste J, Wolfeboro, NH 03894 Phone: 603-569-7588 Fax: 603-569-7589 | |
Stephen James Fleet, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 S Main St, Suite J, Wolfeboro, NH 03894 Phone: 603-569-7588 Fax: 603-569-7589 | |
Dr. Michael R Bowen, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 29 Union St, Wolfeboro, NH 03896 Phone: 603-569-9681 Fax: 603-569-9384 | |
Dr. Angela J Smolarz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 S Main St, Wolfeboro, NH 03894 Phone: 603-569-7500 Fax: 603-515-2031 | |
Deborah Jl Scott, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 240 S Main St, Wolfeboro, NH 03894 Phone: 603-515-2093 Fax: 603-515-2031 | |
Dr. Wayne Peternel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 Millwood Rd, Wolfeboro, NH 03894 Phone: 603-515-3445 Fax: 603-515-3437 | |
Dr. John S Boornazian, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 240 S Main St, Wolfeboro, NH 03894 Phone: 603-569-7500 |