Dr Axel Bouchard, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Fort Myers, Florida. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Clarinda Regional Health Center and his current practice location is
13099 S Cleveland Ave Ste 300, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 936-1336.
Dr Axel Bouchard is licensed to practice in Florida (license number PY10473) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962889139.
Healthcare Provider's Profile
| Full Name | Dr Axel Bouchard |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 13099 S Cleveland Ave Ste 300, Fort Myers, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Axel Bouchard graduated from medical school in 2017
NPI Data:
- NPI Number: 1962889139
- Provider Enumeration Date: 04/27/2015
- Last Update Date: 08/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 2365705761
- Enrollment ID: I20200409001448
Medical Identifiers
Medical identifiers for Dr Axel Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962889139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PY10473 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY10473 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Clarinda Regional Health Center | 4587573993 | 49 |
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 Axel Bouchard allows following entities to bill medicare on his behalf.
| Entity Name | Clarinda Regional Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629196241
PECOS PAC ID: 4587573993
Enrollment ID: O20031205000207 |
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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. Dr Axel Bouchard 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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Dr Axel Bouchard, PHD
13099 S Cleveland Ave Ste 300,
Fort Myers, FL 33907-3835
Ph: () - | Dr Axel Bouchard, PHD
13099 S Cleveland Ave Ste 300,
Fort Myers, FL 33907-3835
Ph: (239) 936-1336 |
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