Jeremy Michael Boucher, MD in Oklahoma City, OK

Jeremy Michael Boucher, MD is a medicare enrolled "Anesthesiology" physician in Oklahoma City, Oklahoma. His current practice location is 11520 Haven Way, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 881-7776.

Jeremy Michael Boucher is licensed to practice in Oklahoma (license number 23387) 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 1093853053.

Contact Information

	Jeremy Michael Boucher, MD
	11520 Haven Way, Oklahoma City, OK 73120-4616
	(405) 881-7776
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeremy Michael Boucher
Gender	Male
Speciality	Anesthesiology
Location	11520 Haven Way, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093853053
Provider Enumeration Date: 02/02/2007
Last Update Date: 11/20/2020

Medicare PECOS Information:

PECOS PAC ID: 6608967484
Enrollment ID: I20070808000475

Medical Identifiers

Medical identifiers for Jeremy Michael Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093853053	NPI	-	NPPES
20076550A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	23387 (Oklahoma)	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. Jeremy Michael Boucher allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Medical Professionals Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962785931 PECOS PAC ID: 5991970279 Enrollment ID: O20111215000187

Entity Name	Orthomed Staffing Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20230914002918

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. Jeremy Michael Boucher 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
Jeremy Michael Boucher, MD 11520 Haven Way, Oklahoma City, OK 73120-4616 Ph: (405) 881-7776	Jeremy Michael Boucher, MD 11520 Haven Way, Oklahoma City, OK 73120-4616 Ph: (405) 881-7776

Reviews and Comments

Anesthesiology Doctors in Oklahoma City, OK

Dr. Elizabeth Anne Williams, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6201 Beaver Creek Rd, Oklahoma City, OK 73162 Phone: 405-210-4198 Fax: 405-703-7595
Dr. Steven J Lantier, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9500 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-475-0680
Rachel Ann George, CAA Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-7000
Dr. Martin J Lopez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4525 S Klein Ave, Ste 900, Oklahoma City, OK 73109 Phone: 405-636-1797
Betty J Haywood, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 750 Ne 13th St, Oac 200, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695
Dr. Suhal S Mahid, MD, PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-8000
Dr. Lauren L. Fitzgerald, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4401 S Western Ave, Oklahoma City, OK 73109 Phone: 918-392-2944 Fax: 918-664-2521

Jeremy Michael Boucher, MD - Medicare Anesthesiology in Oklahoma City, OK