| Ms Nan M Boucher, ANP | |
|
99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 | |
| (207) 777-8810 | |
| (207) 777-8155 |
| Full Name | Ms Nan M Boucher |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 99 Campus Ave, Lewiston, Maine |
| 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 |
|---|---|---|---|
| 1033157227 | NPI | - | NPPES |
| 30347091 | Medicaid | NH | |
| 432184299 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | AP081044 (Maine) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | CNP81044 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Portland, ME | Home health agency |
| Northern Light Mercy Hospital | Portland, ME | Hospital |
| Maine Medical Center | Portland, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital | 6103737812 | 250 |
| Entity Name | Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
| Entity Name | St Marys Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447226584 PECOS PAC ID: 0042107120 Enrollment ID: O20040303000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nan M Boucher, ANP Po Box 95000 Lbx 7650, Philadelphia, PA 19195-0001 Ph: () - | Ms Nan M Boucher, ANP 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 Ph: (207) 777-8810 |
Michael S Hiltz, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 689 Sabattus St, Lewiston, ME 04240 Phone: 800-434-3000 | |
Cora Lee Gavett, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-777-8100 | |
Karen Shepard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 High St, Lewiston, ME 04240 Phone: 207-753-3900 Fax: 207-753-3902 | |
Kendra Anne Greene, MSN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-755-3067 Fax: 207-777-8826 | |
David J. Wright, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Ave Ste 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946 | |
Heather Georgianna Beveridge, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-0111 Fax: 207-795-2766 |