Kevin Eugene Boucher


Address: 5 Clinic Rd, Abington, CT 06230-2005

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070003 DAY KIMBALL HOSPITAL

Other Locations

Address Phone Organization
5 Clinic Rd, Abington, CT 06230-2005

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 5 CLINIC RD
City ABINGTON
State CT
Zip 06230-2005

Competitor

Search similar physicians

City ABINGTON
Zip Code 06230
Specialty FAMILY MEDICINE
City + Specialty ABINGTON + FAMILY MEDICINE

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Dataset Information

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.

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