Catherine Boucher, FNP - Medicare Nurse Practitioner in Mount Pleasant, SC

Catherine Boucher, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Mount Pleasant, South Carolina. Her current practice location is 570 Long Point Rd Ste 200, Mount Pleasant, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 881-0320.

Catherine Boucher is licensed to practice in South Carolina (license number 19695) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457727679.

Contact Information

Catherine Boucher, FNP
570 Long Point Rd Ste 200,
Mount Pleasant, SC 29464-7940
(843) 881-0320
(843) 881-5453



Physician's Profile

Full NameCatherine Boucher
GenderFemale
SpecialityNurse Practitioner - Family
Location570 Long Point Rd Ste 200, Mount Pleasant, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457727679
  • Provider Enumeration Date: 08/12/2015
  • Last Update Date: 03/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698084309
  • Enrollment ID: I20151020002903

Medical Identifiers

Medical identifiers for Catherine Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457727679NPI-NPPES
SC77017818OtherSCMEDICARE PTAN
NP3370MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 19695 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 19695 (South Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Catherine Boucher allows following entities to bill medicare on her behalf.
Entity NameMt Pleasant Dermatology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821048828
PECOS PAC ID: 6204721285
Enrollment ID: O20040218000682

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Catherine Boucher is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Catherine Boucher, FNP
32782 Cedar Dr Ste 2,
Millville, DE 19967-6919

Ph: (302) 448-6874
Catherine Boucher, FNP
570 Long Point Rd Ste 200,
Mount Pleasant, SC 29464-7940

Ph: (843) 881-0320

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