Alexander Albert Boucher
M.D. | Pediatric Hematology-Oncology | Male
Alexander Albert Boucher, M.D. is a Minneapolis, Minnesota based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Alexander Albert Boucher is
909 Fulton St Se, Minneapolis, Minnesota - 55455-4800. He can be contacted on phone at
612-672-7422.
Alexander Albert Boucher is a sole proprietor of his business.
NPI number (Unique professional ID) for Alexander Albert Boucher is
1194083675 which was assigned by NPPES on 02 May, 2012 and it was last updated on 21 Jul, 2022.
Alexander Albert Boucher license number is
57181 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Minnesota.
Alexander Albert Boucher is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Alexander Albert Boucher basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Alexander Albert Boucher |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Alexander Albert Boucher address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 909 Fulton St Se
Minneapolis, MN, 55455-4800
United States |
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| Phone Number : | 612-672-7422 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194083675 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 May, 2012 |
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| Last Updated On : | 21 Jul, 2022 |
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Medicare Participation:
Alexander Albert Boucher participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9133344195 |
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| Medicare Enrollment ID : | I20140707001277 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | University Of Tennessee, Hsc, College Of Medicine |
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| Graduation Year : | 2012 |
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| Accepts Medicare? | Yes. Alexander Albert Boucher accepts medicare insurance. |
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Group Practice Association:
Alexander Albert Boucher is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Alexander Albert Boucher is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Fairview Express Care | 3375645179 | 1469 | 2450 Riverside Ave
Minneapolis, MN - 554541450
Ph: 6126727422 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alexander Albert Boucher are as mentioned. Primary taxonomy code for Alexander Albert Boucher, M.D. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | No | 35.128089 | OH |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 57181 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Alexander Albert Boucher such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1194083675 | MEDICAID | MN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 909 Fulton St Se
Minneapolis, MN, 55455-4800
United States |
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Business Location:
Patients can refer following map for directions to
Alexander Albert Boucher practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.