Melissa Boucher Dennison
MD | Pediatrics | Female
Melissa Boucher Dennison, MD is a Glasgow, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Melissa Boucher Dennison is
301 Professional Park Dr, Glasgow, Kentucky - 42141-3487. She can be contacted on phone at
270-651-9696 and fax number 270-651-0385.
Melissa Boucher Dennison is a sole proprietor of her business.
NPI number (Unique professional ID) for Melissa Boucher Dennison is
1659354892 which was assigned by NPPES on 22 Nov, 2005 and it was last updated on 05 May, 2014.
Melissa Boucher Dennison license number is
KY28593 for Pediatrics (208000000X) in Kentucky.
Melissa Boucher Dennison is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Melissa Boucher Dennison basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Melissa Boucher Dennison |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Melissa Boucher Dennison 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 : | 301 Professional Park Dr
Glasgow, KY, 42141-3487
United States |
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| Phone Number : | 270-651-9696 |
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| Fax Number : | 270-651-0385 |
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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 : | 1659354892 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Nov, 2005 |
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| Last Updated On : | 05 May, 2014 |
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Medicare Participation:
Melissa Boucher Dennison participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5597890178 |
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| Medicare Enrollment ID : | I20130627000112 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Louisville School Of Medicine |
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| Graduation Year : | 1984 |
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| Accepts Medicare? | Yes. Melissa Boucher Dennison accepts medicare insurance. |
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Group Practice Association:
Melissa Boucher Dennison 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 Melissa Boucher Dennison is associated with along with the number of members in that group. She 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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| Cumberland Family Medical Center, Inc. | 6305947789 | 89 | 301 Professional Park Dr
Glasgow, KY - 421413487
Ph: 2706519696 | 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 Melissa Boucher Dennison are as mentioned. Primary taxonomy code for Melissa Boucher Dennison, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | KY28593 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Melissa Boucher Dennison such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 64285935 | MEDICAID | KY | |
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 : | Po Box 1080
Burkesville, KY, 42717-1080
United States |
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| Phone Number : | 270-864-1472 |
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| Fax Number : | 270-864-1693 |
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Business Location:
Patients can refer following map for directions to
Melissa Boucher Dennison practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.