| Jill M Bouchard, ANPC | |
|
242 Brunswick St, Old Town, ME 04468-1613 | |
| (207) 827-6128 | |
| (207) 827-6605 |
| Full Name | Jill M Bouchard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 242 Brunswick St, Old Town, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255714275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | CNP211360 (Maine) | Primary |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225001693 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill M Bouchard, ANPC Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 404-8200 | Jill M Bouchard, ANPC 242 Brunswick St, Old Town, ME 04468-1613 Ph: (207) 827-6128 |
Alexa M Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-404-8100 | |
Sarah M Stewart, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-6605 | |
Rachel L Kinney, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-6605 | |
Celine Ferland, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29 7th St, Old Town, ME 04468 Phone: 207-817-0487 | |
Kate G Thibodeaux, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 | |
Ms. Kathleen Anne Heyden, FNP, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-6605 |