Kevin Eugene Boucher (NPI# 1992869523, PAC ID# 8628108081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1992869523 |
PAC ID by PECOS | 8628108081 |
Professional Enrollment ID | I20100610000762 |
Full Name | Kevin Eugene Boucher |
Address |
5 Clinic Rd Abington CT 06230-2005 |
Gender | M |
Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
Graduation Year | 1984 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070003 | DAY KIMBALL HOSPITAL |
Address | Phone | Organization |
---|---|---|
5 Clinic Rd, Abington, CT 06230-2005 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Street Address |
5 CLINIC RD |
City | ABINGTON |
State | CT |
Zip | 06230-2005 |
City | ABINGTON |
Zip Code | 06230 |
Specialty | FAMILY MEDICINE |
City + Specialty | ABINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kevin Eugene Boucher.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.