| Mr Daniel William Boucot, CRNA | |
|
2201 Chapel Ave, .kennedy Health System, Cherry Hill, NJ 08002 | |
| (856) 829-9345 | |
| (856) 829-3605 |
| Full Name | Mr Daniel William Boucot |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 2201 Chapel Ave, Cherry Hill, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134144314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NO10306600 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Stratford Hospital | Stratford, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rancocas Anesthesiology Pa | 2769380237 | 83 |
| Shrewsbury Ambulatory Anesthesia Llc | 4385899962 | 44 |
| Entity Name | Rancocas Anesthesiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427076553 PECOS PAC ID: 2769380237 Enrollment ID: O20031222000327 |
| Entity Name | Shrewsbury Ambulatory Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356691885 PECOS PAC ID: 4385899962 Enrollment ID: O20130305000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel William Boucot, CRNA 700 Us 130 N Suite 203, Rancocas Anesthesiology, P.a., Cinnaminson, NJ 08077 Ph: (856) 829-9345 | Mr Daniel William Boucot, CRNA 2201 Chapel Ave, .kennedy Health System, Cherry Hill, NJ 08002 Ph: (856) 829-9345 |
Brigid Squilla, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 408 Route 70 E, Cherry Hill, NJ 08034 Phone: 215-829-3867 | |
Mr. Allan Moticska, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Kennedy Health System, Cherry Hill, NJ 08002 Phone: 856-488-6500 | |
Augustine Devita, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 408 Route 70 E, Cherry Hill, NJ 08034 Phone: 215-829-3867 | |
Marjorie A Chiavacci, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 408 Route 70 East, Cherry Hill, NJ 08034 Phone: 215-829-3867 Fax: 215-829-5567 | |
Julia Ohara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 408 Route 70 E, Cherry Hill, NJ 08034 Phone: 800-516-5315 Fax: 517-787-7365 | |
Ms. Charmaine Young, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave West, Kennedy Health System, Cherry Hill, NJ 08002 Phone: 856-488-6500 |