Mark P. Bouchard, MD
Individual provider Active NPI Family Medicine Physician · Falmouth, ME
NPI 1023040656 · NPPES record last updated Apr 9, 2020
Key facts
- NPI
- 1023040656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD14613 (ME)
- Practice address
- 5 Bucknam Rd
Suite 2C
Falmouth, ME 04105-1392 - Phone
- (207) 781-1500
- Fax
- (207) 781-1507
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 42
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Vermont College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
272 Congress St
Portland, ME 04101-3637
Phone (207) 874-2466
5 Bucknam Rd
Falmouth, ME 04105-1209
Hospital & facility affiliations
- Mainehealth Home Health and Hospice
- Northern Light Home Care & Hospice
- Amedisys Home Health
- Mainehealth Maine Medical Center
- Northern Light Mercy Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040819001113 | ME | Practitioner - Family Practice |
2567436264 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14613 | ME | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Family Medicine | Current |
Accepting new patients |
| Maine Medical Partners | Hospitalist | Current |
Accepting new patients |
| Maine Medical Partners | Family Medicine | Current |
Accepting new patients |
| Maine Medical Partners | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Maine Medical Partners | Current |
Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Family Medicine | Past | Accepting new patients |
| Mainehealth | Past | Accepting new patients |
Locations
5 Bucknam Rd
Ste 2B
Portland, ME 04105
Phone (207) 781-1600
5 Bucknam Rd
Ste 2C
Portland, ME 04105
Phone (207) 781-1500
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
272 Congress St
Portland, ME 04101
Phone (207) 874-2466
96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491
100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565
301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600
39 Wallace Ave
South Portland, ME 04106
Phone (207) 761-0650
1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360
1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Interoperability endpoints
- mbouchard593@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD14613 | ME | |
| Hospitalist Physician | 208M00000X | MD14613 | ME | |
| Family Medicine Physician | 207Q00000X | MD14613 | ME | Yes |
Addresses
Primary practice location
5 Bucknam Rd
Suite 2C
Falmouth, ME 04105-1392
Mailing address
301C US Route 1
Scarborough, ME 04074-9701
Phone (207) 396-8600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254100099 | Medicaid | ME |
Other providers in Falmouth, ME
- Boldcoast Chiropractic Care
- Boldcoast Eyecare Incorporated
- Boldcoast Eyecare, Inc
- Suzannarose Borg
- Diane Connolly Borton
- Christine Boucher
- Maureen M Bourque
- Brianna Boutin
- Anne Susan Boyd
- Kristin E Brennan
All providers in Falmouth, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.