T Glen Bouder, MD - Medicare Critical Care (intensivists) in Winchester, VA

T Glen Bouder, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Winchester, Virginia. He went to West Virginia University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Valley Physician Enterprise Inc, Winchester Medical Center and his current practice location is 1840 Amherst St, Winchester, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 536-8874.

T Glen Bouder is licensed to practice in Virginia (license number 0101244705) 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 1043203318.

Contact Information

T Glen Bouder, MD
1840 Amherst St,
Winchester, VA 22601-2808
(540) 536-8874
(540) 536-7847



Physician's Profile

Full NameT Glen Bouder
GenderMale
SpecialityCritical Care (intensivists)
Experience33 Years
Location1840 Amherst St, Winchester, Virginia
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:
  • T Glen Bouder attended and graduated from West Virginia University School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1043203318
  • Provider Enumeration Date: 08/23/2005
  • Last Update Date: 05/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183617343
  • Enrollment ID: I20090930000609

Medical Identifiers

Medical identifiers for T Glen Bouder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043203318NPI-NPPES
1043203318MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease MD051542L (Pennsylvania)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 0101244705 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winchester Medical CenterWinchester, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Valley Physician Enterprise Inc9931268091205
Winchester Medical Center0244134021124

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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. T Glen Bouder allows following entities to bill medicare on his behalf.
Entity NameWinchester Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679711261
PECOS PAC ID: 0244134021
Enrollment ID: O20031124000061

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Entity NameValley Physician Enterprise Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538316203
PECOS PAC ID: 9931268091
Enrollment ID: O20081104000278

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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. T Glen Bouder 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
T Glen Bouder, MD
220 Campus Blvd Ste 100,
Winchester, VA 22601-2896

Ph: (540) 536-5100
T Glen Bouder, MD
1840 Amherst St,
Winchester, VA 22601-2808

Ph: (540) 536-8874

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Internal Medicine Doctors in Winchester, VA

Dr. Raveen Chawla, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1880 Amherst Street, Suite 100 And Suite 200, Winchester, VA 22601
Phone: 540-662-0306    Fax: 855-264-2066
Dr. Neal S Gaither, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1880 Amherst Street, Suite 100 And Suite 200, Winchester, VA 22601
Phone: 540-662-0306    Fax: 855-264-2066
Dr. Lee Resta, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 Campus Blvd Ste 100, Winchester, VA 22601
Phone: 540-662-1108    
Kristine Gade Reed, MD
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 400 Campus Blvd., Suite 100, Winchester, VA 22601
Phone: 540-662-1108    Fax: 540-450-2244
Dr. David Jack Lecronier, D.O.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 190 Campus Blvd Ste 201, Winchester, VA 22601
Phone: 540-536-5980    Fax: 540-536-5979
Dr. Manish J Lakhani, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1880 Amherst Street, Suite 100 And Suite 200, Winchester, VA 22601
Phone: 540-662-0306    Fax: 855-264-2066

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