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ELAINA LEIGH BOUCHARD
NPI 1376253013
Speech-Language Pathologist in Myrtle Beach, SC

Active since December 05, 2022Accepts Medicare Assignment
4057 GROUSEWOOD DR, MYRTLE BEACH, SC 29588(401) 529-5562 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elaina Leigh Bouchard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELAINA LEIGH BOUCHARD (NPI 1376253013) is an individual speech-language pathologist provider in Myrtle Beach, South Carolina and active in the NPI registry since December 2022. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1376253013
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameELAINA LEIGH BOUCHARD
Location Address4057 GROUSEWOOD DRMyrtle Beach, SC 29588-6797
Mailing Address4057 Grousewood DrMyrtle Beach, SC 29588-6797 · (401) 529-5562
Phone(401) 529-5562
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 5, 2022
NPPES CertifiedDecember 4, 2022
✔ NPI 1376253013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4057 GROUSEWOOD DR, Myrtle Beach, SC 29588
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elaina Leigh Bouchard is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840780292
PECOS Enrollment IDI20251105002076

Medicare Billing Reassignment

Medicare enrollment records show Elaina Bouchard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fox Rehabilitation Services Of South Carolina, LLC
130 mi
Physical Therapist
800 N LAKE DR
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 455 clinicians in this Medicare group
NPI 1902133689 (877) 407-3422

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elaina Bouchard's NPI number?

The NPI number for Elaina Bouchard is 1376253013. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Elaina Bouchard located?

Elaina Bouchard practices at 4057 Grousewood Dr, Myrtle Beach, SC 29588. The listed phone number is (401) 529-5562.

What is Elaina Bouchard's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Elaina Bouchard enrolled in Medicare?

Yes. Elaina Bouchard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elaina Bouchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaina Bouchard reassigns Medicare benefits to Fox Rehabilitation Services Of South Carolina, LLC (Lexington, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elaina Bouchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elaina Bouchard was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.