Brandy J Boutin, in Gulf Breeze, FL

Brandy J Boutin, is a medicare enrolled "Pediatrics" physician in Gulf Breeze, Florida. Her current practice location is 204 Center St, Gulf Breeze, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 932-5348.

Brandy J Boutin is licensed to practice in Florida (license number ME98071) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255548129.

Contact Information

	Brandy J Boutin,
	204 Center St, Gulf Breeze, FL 32561-4392
	(850) 932-5348
	(850) 932-7740

Map and Direction

Physician's Profile

Full Name	Brandy J Boutin
Gender	Female
Speciality	Pediatrics
Location	204 Center St, Gulf Breeze, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255548129
Provider Enumeration Date: 05/17/2007
Last Update Date: 12/16/2016

Medicare PECOS Information:

PECOS PAC ID: 2062721434
Enrollment ID: I20151026001951

Medical Identifiers

Medical identifiers for Brandy J Boutin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255548129	NPI	-	NPPES
376274200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME98071 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brandy J Boutin allows following entities to bill medicare on her behalf.

Entity Name	Sacred Heart Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144271586 PECOS PAC ID: 3779491386 Enrollment ID: O20031125000699

Entity Name	Sacred Heart Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandy J Boutin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brandy J Boutin, Po Box 2699, Pensacola, FL 32513-2699 Ph: (850) 932-5348	Brandy J Boutin, 204 Center St, Gulf Breeze, FL 32561-4392 Ph: (850) 932-5348

Reviews and Comments

Pediatrics Doctors in Gulf Breeze, FL

Mr. Randall E Reese, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1368 Country Club Rd, Gulf Breeze, FL 32563 Phone: 850-934-9876 Fax: 850-916-0736
Katherine Seipel Crawford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Daniel Dr, Gulf Breeze, FL 32561 Phone: 850-932-5348 Fax: 850-932-7740
Dr. Paul Stephen Berger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 815 Bay Cliffs Rd, Gulf Breeze, FL 32561 Phone: 850-207-1555
Mrs. Pamela M Klein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1368 Country Club Rd, Gulf Breeze, FL 32563 Phone: 850-934-9876 Fax: 850-916-0736

Brandy J Boutin, - Medicare Pediatrics in Gulf Breeze, FL