Joseph B. Boucree Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

020305 Issued in LA

Practice address

1570 Lindberg Dr Ste 8
Slidell, LA 70458-8084

Phone

(985) 205-3456

Fax

(985) 288-0047

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Orthopedic Surgery

Education

Tulane University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ambulatory Medical GroupGroup PAC ID 4789078957, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Home Health Services Home health agency, Mandeville, LA, CCN 197767
• Our Lady of the Lake Surgical Hospital Hospital, Slidell, LA, CCN 190270

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.boucree@3473.securemail.prognocis.com
• Direct secure messaging: joseph.boucree.1@10617.direct.athenahealth.com
• Direct secure messaging: joseph.boucree.2@10617.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10617/brand/1/csg/1/fhir/r4

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.

• Ambulatory Medical Group

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1871265694
  Medicare reassignment Care Compare group NPD
• Joseph B Boucree Jr Inc

  • Orthopaedic Surgery of the Spine Physician
  • Slidell, LA
  • NPI 1588936702
  Medicare reassignment NPD
• Accord Rehabilitation Part B Practice

  • Adult Medicine Physician
  • Plaquemine, LA
  • NPI 1982194817
  NPD (past)
• New Orleans East Wellness Center, LLC

  • Primary Care Clinic/Center
  • New Orleans, LA
  • NPI 1467850743
  NPD (past)

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

• Lake Surgical Hospital Slidell, LLC

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1821465576
  Care Compare affiliation
• Mercy Health Services LLC

  • Home Health Agency
  • Mandeville, LA
  • NPI 1265544746
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1730110263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 LINDBERG DR STE 8",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588084",
            "telephone_number": "985-205-3456",
            "fax_number": "985-288-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 LINDBERG DR STE 8",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588084",
            "telephone_number": "985-205-3456",
            "fax_number": "985-288-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCREE",
        "first_name": "JOSEPH",
        "middle_name": "B.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "020305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1182257",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Bonvillian, PA-C
• Riana Brielle Booker
• Beverly Hall Borchers
• Lauren Born
• Sidney Borne
• Heidi Boudoin, RN
• Daniel Joseph Bourgeois III, MD
• Demetria J. Bouton, RSW
• Lauri A Boutte, M.P.T.
• Teresa Bovia, RN

• Specialist in Slidell, LA
• Providers in Slidell, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.