Rene Albert Boucher, DO is a
Pain Medicine - Interventional Pain Medicine physician based in Bowling Green, Kentucky. Rene Albert Boucher is licensed to practice in Kentucky (license number 02561) and her current practice location is 165 Natchez Trace Ave, Suite 205, Bowling Green, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 282-2024.
NPI number for Rene Albert Boucher is 1699769869 and her current mailing address is 350 Park St, Ste 203 B, Bowling Green, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699769869.
Physician's Profile
| Full Name | Rene Albert Boucher |
|---|
| Gender | Female |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 165 Natchez Trace Ave, Bowling Green, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699769869
- Provider Enumeration Date: 09/02/2005
- Last Update Date: 09/18/2009
Medical Identifiers
Medical identifiers for Rene Albert Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699769869 | NPI | - | NPPES |
| 64980105 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 02561 (Kentucky) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 02561 (Kentucky) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 02561 (Kentucky) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | 02561 (Kentucky) | Secondary |
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. Rene Albert Boucher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rene Albert Boucher, DO
350 Park St, Ste 203 B,
Bowling Green, KY 42101-1784
Ph: (270) 393-1912 | Rene Albert Boucher, DO
165 Natchez Trace Ave, Suite 205,
Bowling Green, KY 42103-7940
Ph: (270) 282-2024 |
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