Courtney Boucher, PA-C - Medicare Physician Assistant in Alhambra, CA

  1. Home
  2. Physician Assistant
  3. CA
  4. Alhambra
Courtney Boucher, PA-C is a medicare enrolled "Physician Assistant" in Alhambra, California. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 503 N Story Pl, Alhambra, California. You can reach out to her office (for appointments etc.) via phone at (626) 484-6732.

Courtney Boucher is licensed to practice in California (license number 52658) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033594536.

Contact Information

Courtney Boucher, PA-C
503 N Story Pl,
Alhambra, CA 91801-2608
(626) 484-6732
Not Available

Map and Direction




Provider's Profile

Full NameCourtney Boucher
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location503 N Story Pl, Alhambra, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Courtney Boucher graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1033594536
  • Provider Enumeration Date: 07/25/2015
  • Last Update Date: 10/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163722562
  • Enrollment ID: I20151207001668

Medical Identifiers

Medical identifiers for Courtney Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033594536NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 52658 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group600272917511250

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. Courtney Boucher allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameTemecula Valley Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407281223
PECOS PAC ID: 2769619097
Enrollment ID: O20131212000952

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. Courtney Boucher 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
Courtney Boucher, PA-C
503 N Story Pl,
Alhambra, CA 91801-2608

Ph: Not Available		Courtney Boucher, PA-C
503 N Story Pl,
Alhambra, CA 91801-2608

Ph: (626) 484-6732

Reviews and Comments


Physician Assistant Nurses in Alhambra, CA

Jessica Lee Palmer,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Fremont Ave Ste N10100, Alhambra, CA 91803
Phone: 626-457-4240    
Krystal Espinoza,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803
Phone: 626-457-4240    
Sonya Tang, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1024 S Garfield Ave, Alhambra, CA 91801
Phone: 626-289-5181    
Jaspreet Kaur,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1000 South Fremont Avenue Unit 7, Bldg. A10, Ste.n10100, Alhambra, CA 91803
Phone: 626-457-4240    
Monica Khun,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1668 S Garfield Ave Fl 2, Alhambra, CA 91801
Phone: 626-943-6476    Fax: 626-900-9558
Jack Theodore Ezzedine,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803
Phone: 626-457-4240    
Jonathan Koe,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 707 S Garfield Ave Fl 2, Alhambra, CA 91801
Phone: 626-282-1600    

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.