Mrs Andrea Marie Boucher, DNP, MSN, CNM is a medicare enrolled "Advanced Practice Midwife" in Germantown, Tennessee. Her current practice location is
7800 Wolf Trail Cv, Germantown, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(901) 682-9222.
Mrs Andrea Marie Boucher is licensed to practice in Tennessee (license number APN0000016453) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780950055.
Provider's Profile
| Full Name | Mrs Andrea Marie Boucher |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 7800 Wolf Trail Cv, Germantown, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780950055
- Provider Enumeration Date: 03/30/2012
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648426015
- Enrollment ID: I20141124001669
Medical Identifiers
Medical identifiers for Mrs Andrea Marie Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780950055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | APN0000016453 (Tennessee) | Primary |
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. Mrs Andrea Marie Boucher allows following entities to bill medicare on her behalf.
| Entity Name | Emory Medical Care Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968 |
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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. Mrs Andrea Marie Boucher 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 Address | Practice Location Address |
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Mrs Andrea Marie Boucher, DNP, MSN, CNM
3025 Chapel Woods Cv,
Germantown, TN 38139-2505
Ph: (901) 517-3704 | Mrs Andrea Marie Boucher, DNP, MSN, CNM
7800 Wolf Trail Cv,
Germantown, TN 38138-1753
Ph: (901) 682-9222 |
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