T Glen Bouder, MD in Winchester, VA - Medicare Critical Care (intensivists)

T Glen Bouder, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Winchester, Virginia. He went to West Virginia University School Of Medicine and graduated in 1991 and has 34 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Winchester Medical Center, Valley Physician Enterprise Inc and his current practice location is 1840 Amherst St, Winchester, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 536-8874.

T Glen Bouder is licensed to practice in Virginia (license number 0101244705) 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 1043203318.

Contact Information

	T Glen Bouder, MD
	1840 Amherst St, Winchester, VA 22601-2808
	(540) 536-8874
	(540) 536-7847

Map and Direction

Physician's Profile

Full Name	T Glen Bouder
Gender	Male
Speciality	Critical Care (intensivists)
Experience	34 Years
Location	1840 Amherst St, Winchester, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

T Glen Bouder attended and graduated from West Virginia University School Of Medicine in 1991

NPI Data:

NPI Number: 1043203318
Provider Enumeration Date: 08/23/2005
Last Update Date: 05/28/2021

Medicare PECOS Information:

PECOS PAC ID: 4183617343
Enrollment ID: I20090930000609

Medical Identifiers

Medical identifiers for T Glen Bouder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043203318	NPI	-	NPPES
1043203318	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	MD051542L (Pennsylvania)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	0101244705 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Winchester Medical Center	Winchester, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Winchester Medical Center	0244134021	188
Valley Physician Enterprise Inc	9931268091	219

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. T Glen Bouder allows following entities to bill medicare on his behalf.

Entity Name	Winchester Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679711261 PECOS PAC ID: 0244134021 Enrollment ID: O20031124000061

Entity Name	Valley Physician Enterprise Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538316203 PECOS PAC ID: 9931268091 Enrollment ID: O20081104000278

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. T Glen Bouder 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
T Glen Bouder, MD 220 Campus Blvd Ste 100, Winchester, VA 22601-2896 Ph: (540) 536-5100	T Glen Bouder, MD 1840 Amherst St, Winchester, VA 22601-2808 Ph: (540) 536-8874

Reviews and Comments

Internal Medicine Doctors in Winchester, VA

Dr. Raveen Chawla, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1880 Amherst Street, Suite 100 And Suite 200, Winchester, VA 22601 Phone: 540-662-0306 Fax: 855-264-2066
Dr. Neal S Gaither, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1880 Amherst Street, Suite 100 And Suite 200, Winchester, VA 22601 Phone: 540-662-0306 Fax: 855-264-2066
Dr. Lee Resta, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Campus Blvd Ste 100, Winchester, VA 22601 Phone: 540-662-1108
Dr. Sonja Richmond, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 333 W Cork St Unit 405, Winchester, VA 22601 Phone: 540-313-9200 Fax: 540-686-7287
Kristine Gade Reed, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Campus Blvd., Suite 100, Winchester, VA 22601 Phone: 540-662-1108 Fax: 540-450-2244
Dr. David Jack Lecronier, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 Campus Blvd Ste 201, Winchester, VA 22601 Phone: 540-536-5980 Fax: 540-536-5979

T Glen Bouder, MD - Medicare Critical Care (intensivists) in Winchester, VA