Jose Antonio Bouffard, MD - Medicare Diagnostic Radiology in Detroit, MI

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Jose Antonio Bouffard, MD is a medicare enrolled "Nuclear Medicine - Nuclear Imaging & Therapy" physician in Detroit, Michigan. He graduated from medical school in 1980 and has 46 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Basha Diagnostics P C, Vhs Physicians Of Michigan and his current practice location is 261 Mack Ave, Room 215, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 966-2539.

Jose Antonio Bouffard is licensed to practice in Michigan (license number 4301044748) 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 1043388788.

Contact Information

Jose Antonio Bouffard, MD
261 Mack Ave, Room 215,
Detroit, MI 48201-2417
(313) 966-2539
(313) 993-2630

Map and Direction




Physician's Profile

Full NameJose Antonio Bouffard
GenderMale
SpecialityDiagnostic Radiology
Experience46 Years
Location261 Mack Ave, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jose Antonio Bouffard graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1043388788
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 09/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1759344500
  • Enrollment ID: I20041112000049

Medical Identifiers

Medical identifiers for Jose Antonio Bouffard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043388788NPI-NPPES
JB044748OtherMISTATE LICENSURE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207UN0902XNuclear Medicine - Nuclear Imaging & Therapy 4301044748 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Huron Valley-sinai HospitalCommerce township, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Basha Diagnostics P C589068174628
Vhs Physicians Of Michigan8921289760219

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. Jose Antonio Bouffard allows following entities to bill medicare on his behalf.
Entity NameBasha Diagnostics P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770693798
PECOS PAC ID: 5890681746
Enrollment ID: O20040226000460
Entity NameVhs Physicians of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073827101
PECOS PAC ID: 8921289760
Enrollment ID: O20110225000849
Entity NameRadadvantage a Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20150715000075

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. Jose Antonio Bouffard 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
Jose Antonio Bouffard, MD
261 Mack Ave, Room 215,
Detroit, MI 48201-2417

Ph: (313) 966-2539		Jose Antonio Bouffard, MD
261 Mack Ave, Room 215,
Detroit, MI 48201-2417

Ph: (313) 966-2539

Reviews and Comments



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.