| Ms Allison Margaret Bouck, CRNA | |
|
1260 Mastic St, San Jose, CA 95110-3409 | |
| (815) 345-8985 | |
| Not Available |
| Full Name | Ms Allison Margaret Bouck |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 1260 Mastic St, San Jose, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578293932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA95002703 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Regional Medical Center | Fresno, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Partners | 6608280268 | 497 |
| Entity Name | Community Health Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952912420 PECOS PAC ID: 6608280268 Enrollment ID: O20210122001714 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Allison Margaret Bouck, CRNA 1260 Mastic St, San Jose, CA 95110-3409 Ph: (815) 345-8985 | Ms Allison Margaret Bouck, CRNA 1260 Mastic St, San Jose, CA 95110-3409 Ph: (815) 345-8985 |
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Mrs. Melinda K Moye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128 Phone: 408-793-6515 Fax: 408-885-7307 |
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