| Mr Douglas E Boucher, PA C | |
| 
					115 Woodbine Lane, Danville, PA 17822-5208  | |
| (570) 271-6621 | |
| (570) 271-5655 | 
| Full Name | Mr Douglas E Boucher | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant | 
| Location | 115 Woodbine Lane, Danville, Pennsylvania | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972578094 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | MA000486L (Pennsylvania) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Douglas E Boucher, PA C 100 N Academy Ave, Danville, PA 17822-3034 Ph: (570) 271-6144  | Mr Douglas E Boucher, PA C 115 Woodbine Lane, Danville, PA 17822-5208 Ph: (570) 271-6621  | 
Ms. Monisa Deanne Wagner,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-7910 Fax: 570-271-6002  | |
Lauren Scheeler,  Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6437 Fax: 570-271-6663  | |
Michael Caputo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 Fax: 570-271-6955  | |
Courtney Zoey Earnest, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6429 Fax: 570-271-6854  | |
Shannon Taylor Borissov, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211  | |
Courtney Marie Holley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6361  | |
Braylen Krainak,  Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16 Woodbine Ln, Danville, PA 17821 Phone: 570-271-6070 Fax: 570-271-5609  |