Gary J Bouchard, PA-C - Medicare Physician Assistant in Greenlawn, NY

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Gary J Bouchard, PA-C is a medicare enrolled "Physician Assistant - Medical" in Greenlawn, New York. He graduated from nursing school in 1987 and has 39 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Samaritan Medical Services Pc and his current practice location is 190 Broadway, Greenlawn, New York. You can reach out to his office (for appointments etc.) via phone at (732) 668-4192.

Gary J Bouchard is licensed to practice in New York (license number 003223) 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 1457505083.

Contact Information

Gary J Bouchard, PA-C
190 Broadway,
Greenlawn, NY 11740-2120
(732) 668-4192
Not Available

Map and Direction




Provider's Profile

Full NameGary J Bouchard
GenderMale
SpecialityPhysician Assistant
Experience39 Years
Location190 Broadway, Greenlawn, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gary J Bouchard graduated from nursing school in 1987
  NPI Data:
  • NPI Number: 1457505083
  • Provider Enumeration Date: 11/10/2008
  • Last Update Date: 06/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8426313107
  • Enrollment ID: I20180530001064

Medical Identifiers

Medical identifiers for Gary J Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457505083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant MP 00002600 (New Jersey)Secondary
363AM0700XPhysician Assistant - Medical 003223 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles HospitalPort jefferson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Samaritan Medical Services Pc7012016009341

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. Gary J Bouchard allows following entities to bill medicare on his behalf.
Entity NameSamaritan Medical Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124184544
PECOS PAC ID: 7012016009
Enrollment ID: O20070727000051
Entity NameIon Oltean Physician PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912236811
PECOS PAC ID: 6406990860
Enrollment ID: O20100223000519

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. Gary J 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 AddressPractice Location Address
Gary J Bouchard, PA-C
190 Broadway,
Greenlawn, NY 11740-2120

Ph: (732) 668-4192		Gary J Bouchard, PA-C
190 Broadway,
Greenlawn, NY 11740-2120

Ph: (732) 668-4192

Reviews and Comments


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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.