Eric S Bouchard, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME87495 Issued in FL

Practice address

1300 Medical Dr
Tallahassee, FL 32308-4646

Phone

(850) 216-0100

Fax

(850) 201-4873

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Miami, LM Miller School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Tallahassee, FL, CCN 107151
• Centerwell Home Health Home health agency, Tallahassee, FL, CCN 107200
• Enhabit Home Health Home health agency, Blountstown, FL, CCN 109153
• Concierge Home Care Home health agency, Tallahassee, FL, CCN 687141
• Tallahassee Memorial Home Health Care Home health agency, Tallahassee, FL, CCN 107115
• Big Bend Hospice Inc Hospice, Tallahassee, FL, CCN 101523
• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebouchard21413@tallahasseememorial.direct-ci.com
• Direct secure messaging: ericbouchard@tmhpp2.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Medicare reassignment Care Compare group NPD
• Southern Internal Medicine Associates, PLLC

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1639909658
  NPD
• Tallahassee Memorial Healthcare Inc

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1366293102

  Internal Medicine

  NPD
• Southern Medical Group, PA

  • Cardiovascular Disease Physician
  • Tallahassee, FL
  • NPI 1417948159
  NPD (past)
• Victor Toledano MD PA

  • Internal Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1184790453
  NPD (past)
• Victor Toledano MD PA

  • Internal Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1467539411
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Health Services (Certified), Inc.

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1982634101
  Care Compare affiliation Name & address match
• Amedisys Florida, LLC

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1629129937
  Care Compare affiliation
• Big Bend Hospice, Inc.

  • Community Based Hospice Care Agency
  • Tallahassee, FL
  • NPI 1396746103
  Care Compare affiliation
• Caresouth HHA Holdings of Tallahassee, LLC

  • Home Health Agency
  • Blountstown, FL
  • NPI 1528283777
  Care Compare affiliation
• Concierge Home Care of Tallahassee LLC

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1285237289
  Care Compare affiliation
• Tallahassee Memorial Healthcare Inc

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1174539522
  Care Compare affiliation
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1295742740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MEDICAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084646",
            "telephone_number": "850-216-0100",
            "fax_number": "850-201-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MEDICAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084646",
            "telephone_number": "850-216-0100",
            "fax_number": "850-201-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "ERIC",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME87495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267896900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154344087A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaney Boss, PHD
• Carsyn Bostwick
• Veronica Brogan Boswell, MS, RD, LDN
• Elizabeth Botkin
• Claire Zekry George Botros, MD
• Michelle Bouthillier, LCSW, CGP
• Christopher Bouyer
• Diane Bowden, RDN, LDN, CLC
• Terri J Bowen, LMT
• Nyia Bowens, BSW

• Internal Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.