MR. DONALD FRANCIS BOUCHARD NPI 1003004532

Contractor in Chester, CT

Individual Male Contractor

About DONALD BOUCHARD

Donald Bouchard is a provider established in Chester, Connecticut and his medical specialization is contractor. The NPI number of Donald Bouchard is 1003004532 and was assigned on October 2007. The practitioner's primary taxonomy code is 171W00000X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

Donald Bouchard is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003004532

Provider NameMR. DONALD FRANCIS BOUCHARD
Provider Location Address17 WATERHOUSE LN CHESTER, CT 06412
Provider Mailing Address17 WATERHOUSE LN GOLDSTAR MEDICAL SERVICES, INC. CHESTER, CT 06412
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-10-2007
Last Update Date10-10-2007

Primary Taxonomy

Taxonomy Code171W00000X
ClassificationContractor
TypeOther Service Providers
License StateCT
Taxonomy DescriptionA person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Business Address

MR. DONALD FRANCIS BOUCHARD
17 WATERHOUSE LN
CHESTER, CT
ZIP 06412
Phone: (860) 526-4333
Fax: (860) 526-4333

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Mailing Address

MR. DONALD FRANCIS BOUCHARD
17 WATERHOUSE LN
GOLDSTAR MEDICAL SERVICES, INC.
CHESTER, CT
ZIP 06412
Phone: (860) 526-4333
Fax: (860) 526-4333

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0558200001MEDICARE NSC (07)CT
12DME0363CT02OTHER (01)CT
GO376254OTHER (01)CT

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.