Dr Mark Daniel Bouchard, MD - Medicare Pediatrics in Issaquah, WA

Dr Mark Daniel Bouchard, MD is a medicare enrolled "Pediatrics" physician in Issaquah, Washington. His current practice location is 751 Ne Blakely Dr Ste 5010, Issaquah, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 394-0700.

Dr Mark Daniel Bouchard is licensed to practice in Washington (license number MD61046264) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316392517.

Contact Information

Dr Mark Daniel Bouchard, MD
751 Ne Blakely Dr Ste 5010,
Issaquah, WA 98029-6201
(425) 394-0700
(425) 394-0757



Physician's Profile

Full NameDr Mark Daniel Bouchard
GenderMale
SpecialityPediatrics
Location751 Ne Blakely Dr Ste 5010, Issaquah, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316392517
  • Provider Enumeration Date: 04/26/2016
  • Last Update Date: 01/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981949690
  • Enrollment ID: I20191008001416

Medical Identifiers

Medical identifiers for Dr Mark Daniel Bouchard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316392517NPI-NPPES
1316392517MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD61046264 (Washington)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. Dr Mark Daniel Bouchard allows following entities to bill medicare on his behalf.
Entity NameSun River Health Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375

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Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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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 Mark Daniel 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 Mark Daniel Bouchard, MD
Po Box 25608,
Salt Lake City, UT 84125-0608

Ph: (206) 320-4476
Dr Mark Daniel Bouchard, MD
751 Ne Blakely Dr Ste 5010,
Issaquah, WA 98029-6201

Ph: (425) 394-0700

News Archive

Study provides greater detail about the characteristics of COVID-19 patients

Patients hospitalized with COVID-19 were more likely male, younger, and, in both the US and Spain, had fewer comorbidities and lower medication use than hospitalized influenza patients according to a recent study published by the Observational Health Data Sciences and Informatics community.

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› Verified 2 days ago


Pediatrics Doctors in Issaquah, WA

Linda S Hung, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029
Phone: 425-391-7337    Fax: 425-391-3915
Haejun Cecilia Ahn, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029
Phone: 425-313-7088    Fax: 425-394-0757
Kathrine Ryan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029
Phone: 425-391-7337    Fax: 425-391-3915
Troy Yi, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6520 226th Pl Se Ste 100, Issaquah, WA 98027
Phone: 425-394-1680    Fax: 425-394-1674
Tracie O'neill, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029
Phone: 425-391-7337    Fax: 425-391-3915
Mrs. Tiffany Lynne Herr, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029
Phone: 425-394-0701    
Dr. David Ege, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027
Phone: 425-391-0705    Fax: 424-391-9562

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