Dr Kelly Boucher, OD in Oklahoma City, OK - Medicare Optometry Provider

Dr Kelly Boucher, OD is a medicare enrolled "Optometrist" provider in Oklahoma City, Oklahoma. She went to Indiana University - School Of Optometry and graduated in 2014 and has 10 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Central Oklahoma American Indian Health Council, Inc. and her current practice location is 4913 W Reno Ave, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 948-4900.

Dr Kelly Boucher is licensed to practice in Oklahoma (license number 2802) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528476207.

Contact Information

	Dr Kelly Boucher, OD
	4913 W Reno Ave, Oklahoma City, OK 73127-6339
	(405) 948-4900
	(405) 948-4933

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelly Boucher
Gender	Female
Speciality	Optometry
Experience	10 Years
Location	4913 W Reno Ave, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelly Boucher attended and graduated from Indiana University - School Of Optometry in 2014

NPI Data:

NPI Number: 1528476207
Provider Enumeration Date: 07/25/2014
Last Update Date: 01/11/2021

Medicare PECOS Information:

PECOS PAC ID: 1456571017
Enrollment ID: I20141001002687

Medical Identifiers

Medical identifiers for Dr Kelly Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528476207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2802 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Oklahoma American Indian Health Council, Inc.	3476617374	47

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. Dr Kelly Boucher allows following entities to bill medicare on her behalf.

Provider Name	Choctaw Nation Of Oklahoma
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326

Provider Name	Central Oklahoma American Indian Health Council, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407969728 PECOS PAC ID: 3476617374 Enrollment ID: O20090901000440

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. Dr Kelly 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
Dr Kelly Boucher, OD 4913 W Reno Ave, Oklahoma City, OK 73127-6339 Ph: (405) 948-4900	Dr Kelly Boucher, OD 4913 W Reno Ave, Oklahoma City, OK 73127-6339 Ph: (405) 948-4900

Reviews and Comments

Optometrist in Oklahoma City, OK

Pearle Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2501 W Memorial Rd, Ste 222, Oklahoma City, OK 73134 Phone: 405-775-9300
Young Eye Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 12325 N Rockwell Ave, Oklahoma City, OK 73142 Phone: 405-728-3393
Dr. Gary Robert Fox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10320 S Pennsylvania Ave, Suite #103, Oklahoma City, OK 73159 Phone: 405-691-3937 Fax: 405-691-0312
Forester & Pitt Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 3011 Nw 63rd St, Oklahoma City, OK 73116 Phone: 405-840-2800 Fax: 405-840-8242
Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 14000 Quailbrook Dr, Oklahoma City, OK 73134 Phone: 405-751-7727 Fax: 405-755-1875
Pearle Vision Optometrist Medicare: Medicare Enrolled Practice Location: 8549 N Rockwell Ave, Oklahoma City, OK 73132 Phone: 405-720-8316 Fax: 405-720-3594
Jenna Vergeldt, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-4017

Dr Kelly Boucher, OD - Medicare Optometrist in Oklahoma City, OK