Maya Grace Bouchard, is a medicare enrolled "Physician Assistant" physician in Fall River, Massachusetts. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lifespan Physician Group Of Massachusetts Inc and her current practice location is
795 Middle St, Fall River, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 674-5600.
Maya Grace Bouchard is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1487051025.
Physician's Profile
| Full Name | Maya Grace Bouchard |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | 795 Middle St, Fall River, Massachusetts |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Maya Grace Bouchard graduated from medical school in 2014
NPI Data:
- NPI Number: 1487051025
- Provider Enumeration Date: 11/25/2014
- Last Update Date: 12/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 4385956242
- Enrollment ID: I20150710000680
Medical Identifiers
Medical identifiers for Maya Grace Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487051025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | PA5347 (Massachusetts) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lifespan Physician Group Of Massachusetts Inc | 3870020399 | 449 |
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. Maya Grace 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 Address | Practice Location Address |
|---|
Maya Grace Bouchard,
28 Village St,
South Easton, MA 02375-1755
Ph: (774) 644-7972 | Maya Grace Bouchard,
795 Middle St,
Fall River, MA 02721-1733
Ph: (508) 674-5600 |
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