Dr Glen Michael Bouchard, DO - Medicare Emergency Medicine in Palmer, MA

Dr Glen Michael Bouchard, DO is a medicare enrolled "Emergency Medicine" physician in Palmer, Massachusetts. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Baystate Wing Hospital Corporation and his current practice location is 40 Wright St, Palmer, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 284-5308.

Dr Glen Michael Bouchard is licensed to practice in Massachusetts (license number 78416) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790751667.

Contact Information

Dr Glen Michael Bouchard, DO
40 Wright St,
Palmer, MA 01069-1138
(413) 284-5308
(413) 284-5413



Physician's Profile

Full NameDr Glen Michael Bouchard
GenderMale
SpecialityEmergency Medicine
Experience39 Years
Location40 Wright St, Palmer, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Glen Michael Bouchard attended and graduated from Philadelphia College Of Osteopathic Medicine in 1985
  NPI Data:
  • NPI Number: 1790751667
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 12/10/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9739103227
  • Enrollment ID: I20061227000125

Medical Identifiers

Medical identifiers for Dr Glen Michael Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790751667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 000446 (Connecticut)Secondary
207P00000XEmergency Medicine 78416 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baystate Wing HospitalPalmer, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baystate Wing Hospital Corporation933504832134

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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. Dr Glen Michael Bouchard allows following entities to bill medicare on his behalf.
Entity NameBaystate Medical Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548205909
PECOS PAC ID: 5991602971
Enrollment ID: O20040225000080

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Entity NameBaystate Wing Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962410233
PECOS PAC ID: 9335048321
Enrollment ID: O20040511000400

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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. Dr Glen Michael Bouchard 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
Dr Glen Michael Bouchard, DO
280 Chestnut St, 2nd Floor,
Springfield, MA 01199-1619

Ph: (413) 794-5700
Dr Glen Michael Bouchard, DO
40 Wright St,
Palmer, MA 01069-1138

Ph: (413) 284-5308

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Emergency Medicine Doctors in Palmer, MA

Zachary C. Demma, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 40 Wright St, Palmer, MA 01069
Phone: 413-284-5308    Fax: 413-284-5413
Brian J Hession, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 40 Wright St, Palmer, MA 01069
Phone: 413-284-5308    Fax: 413-284-5413
Dr. Robert Andrew Spence, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 40 Wright Street, Wing Emergency Services, Palmer, MA 01069
Phone: 413-284-5308    Fax: 413-284-5413
Paul L. Willis, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 40 Wright St, Palmer, MA 01069
Phone: 413-283-7651    
Janet R Magnani, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 40 Wright St, Wing Memorial Hospital, Palmer, MA 01069
Phone: 413-284-5308    Fax: 413-284-5704
Frederick W Harwick, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 40 Wright St, Wing Memorial Hospital, Palmer, MA 01069
Phone: 413-284-5308    Fax: 413-284-5704
Marame K Gattan, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 40 Wright St, Palmer, MA 01069
Phone: 413-284-5308    Fax: 413-284-5413

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