| Bonnie Bouchard, CNM | |
|
2300 Southwood Dr, Nashua, NH 03063-1818 | |
| (603) 577-4000 | |
| Not Available |
| Full Name | Bonnie Bouchard |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2300 Southwood Dr, Nashua, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003884685 | NPI | - | NPPES |
| 11459629 | Other | ME | CAQH ID NO. |
| 2426723 | Other | UNITED HEALTHCARE PROVIDER NO. | |
| 8891249 | Other | CIGNA PROVIDER ID NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN27700 (Maine) | Secondary |
| 176B00000X | Midwife | CNM82022 (Maine) | Secondary |
| 367A00000X | Advanced Practice Midwife | 090915-23 (New Hampshire) | Primary |
| Entity Name | Pines Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942277819 PECOS PAC ID: 0749275113 Enrollment ID: O20040823001052 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Bouchard, CNM Po Box 40, Caribou, ME 04736-0040 Ph: (207) 498-2359 | Bonnie Bouchard, CNM 2300 Southwood Dr, Nashua, NH 03063-1818 Ph: (603) 577-4000 |
Ms. Jessica Marie Lewis, C.N.M. Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 8 Prospect St, Nashua, NH 03060 Phone: 603-577-2000 | |
Susan E Krasner, CNM, MS, ARNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 21 E Hollis St, Nashua, NH 03060 Phone: 603-477-4300 | |
Ms. Jessica A Bacon, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2300 Southwood Dr, Dartmouth Hitchcock - Ob/gyn, Nashua, NH 03063 Phone: 603-577-3407 | |
Erin R Seamonds, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 168 Kinsley St Ste 20, Nashua, NH 03060 Phone: 603-883-3365 | |
Kathryn A. Paar, RN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 8 Prospect St, Nashua, NH 03060 Phone: 603-577-5353 Fax: 603-577-5354 | |
Linda Dempster, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2300 Southwood Dr, Nashua, NH 03063 Phone: 603-577-4000 | |
Debra A. Couyou, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 19 Tyler St, Suite 202, Nashua, NH 03060 Phone: 603-577-3330 Fax: 603-577-3370 |