| Maya Grace Bouchard, | |
|
795 Middle St, Fall River, MA 02721-1733 | |
| (508) 674-5600 | |
| Not Available |
| Full Name | Maya Grace Bouchard |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 795 Middle St, Fall River, Massachusetts |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487051025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 207P00000X | Emergency Medicine | PA5347 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brown University Health Saint Anne's Hospital | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifespan Physician Group Of Massachusetts Inc | 3870020399 | 458 |
| Entity Name | Steward Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780971275 PECOS PAC ID: 0244401404 Enrollment ID: O20110919000768 |
| Entity Name | First Physicians Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255493474 PECOS PAC ID: 0244518454 Enrollment ID: O20161022000068 |
| Entity Name | Lifespan Physician Group of Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957713 PECOS PAC ID: 3870020399 Enrollment ID: O20241223001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Maya Grace Bouchard, 28 Village St, South Easton, MA 02375-1755 Ph: (774) 644-7972 | Maya Grace Bouchard, 795 Middle St, Fall River, MA 02721-1733 Ph: (508) 674-5600 |
Mr. Greg Goodwin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1565 N Main St, Fall River, MA 02720 Phone: 508-973-2211 Fax: 508-973-9885 |
Ms. Jessica Leilani Simeone, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-7041 |
Rebecca Xia, NP Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Hanover St Ste 2a, Fall River, MA 02720 Phone: 508-973-7774 Fax: 508-973-7724 |
John Nathanael Nollet, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-3131 |
Molly O'brien, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 387 Quarry St Ste 100, Fall River, MA 02723 Phone: 508-679-8111 Fax: 508-673-0943 |
Julia Valeri, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-674-5600 |
Yuenan Sun Pitrolo, MB PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-235-0481 |