Alice Boucher, PT, DPT - Medicare Physical Therapist in Waterbury Center, VT

  1. Home
  2. Physical Therapists
  3. VT
  4. Waterbury Center
Alice Boucher, PT, DPT is a medicare enrolled "Physical Therapist" provider in Waterbury Center, Vermont. Her current practice location is 1945 Shaw Mansion Rd, Waterbury Center, Vermont. You can reach out to her office (for appointments etc.) via phone at (860) 921-8394.

Alice Boucher is licensed to practice in Vermont (license number 040.0102990) 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 1215643762.

Contact Information

Alice Boucher, PT, DPT
1945 Shaw Mansion Rd,
Waterbury Center, VT 05677-8256
(860) 921-8394
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAlice Boucher
GenderFemale
SpecialityPhysical Therapist
Location1945 Shaw Mansion Rd, Waterbury Center, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215643762
  • Provider Enumeration Date: 01/27/2023
  • Last Update Date: 01/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527433523
  • Enrollment ID: I20230405000138

Medical Identifiers

Medical identifiers for Alice Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215643762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 040.0102990 (Vermont)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. Alice Boucher allows following entities to bill medicare on her behalf.
Provider NameSozango Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1295447845
PECOS PAC ID: 7214302371
Enrollment ID: O20230404001033

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. Alice 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 AddressPractice Location Address
Alice Boucher, PT, DPT
1945 Shaw Mansion Rd,
Waterbury Center, VT 05677-8256

Ph: (860) 921-8394		Alice Boucher, PT, DPT
1945 Shaw Mansion Rd,
Waterbury Center, VT 05677-8256

Ph: (860) 921-8394

Reviews and Comments


Physical Therapist in Waterbury Center, VT

Ms. Susan Pam Mason, PT, MED
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1725 Loomis Hill Rd, Waterbury Center, VT 05677
Phone: 802-244-5516    Fax: 802-879-5963

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.