GARY J BOUCHARD PA-C
NPI 1457505083
Physician Assistant - Medical in Greenlawn, NY
About Gary J Bouchard Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY J BOUCHARD PA-C (NPI 1457505083) is an individual medical provider in Greenlawn, New York, licensed in New York (003223) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gary J Bouchard Pa-c 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Charles Hospital
Acute Care Hospitals · Port Jefferson, NYFrequently 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 Gary Bouchard's NPI number?
The NPI number for Gary Bouchard is 1457505083. It was assigned to this individual provider in the NPPES registry on November 10, 2008.
Where is Gary Bouchard located?
Gary Bouchard practices at 190 Broadway, Greenlawn, NY 11740. The listed phone number is (732) 668-4192.
What is Gary Bouchard's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Gary Bouchard enrolled in Medicare?
Yes. Gary 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.
Is Gary Bouchard affiliated with any hospitals?
According to CMS data, Gary Bouchard is affiliated with St Charles Hospital.
When was this NPI record last updated?
The NPPES record for Gary Bouchard was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Gary J Bouchard, PA-C · NPI 1457505083
Medical physician in Greenlawn, New York. Individual provider, active in the CMS NPPES registry since November 10, 2008.
## Identity
- **NPI:** 1457505083 (Entity type: Individual)
- **Enumerated:** November 10, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 003223 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 190 BROADWAY, Greenlawn, NY 11740-2120
- **Phone:** (732) 668-4192
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** June 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1457505083) · Data from the CMS NPPES public registry.