Hossam Idrissi Boucteb, in Raleigh, NC - Medicare Physical Therapist Provider

Hossam Idrissi Boucteb, is a medicare enrolled "Physical Therapist" provider in Raleigh, North Carolina. His current practice location is 4109 Wake Forest Rd Ste 200, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 322-0042.

Hossam Idrissi Boucteb is licensed to practice in North Carolina (license number P21044) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164178372.

Contact Information

	Hossam Idrissi Boucteb,
	4109 Wake Forest Rd Ste 200, Raleigh, NC 27609-6262
	(919) 322-0042
	(919) 322-0041

Map and Direction

Healthcare Provider's Profile

Full Name	Hossam Idrissi Boucteb
Gender	Male
Speciality	Physical Therapist
Location	4109 Wake Forest Rd Ste 200, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164178372
Provider Enumeration Date: 02/25/2022
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 8628423068
Enrollment ID: I20231004004204

Medical Identifiers

Medical identifiers for Hossam Idrissi Boucteb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164178372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P21044 (North Carolina)	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. Hossam Idrissi Boucteb allows following entities to bill medicare on his behalf.

Provider Name	Activcare Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548409626 PECOS PAC ID: 8628027471 Enrollment ID: O20090513000597

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. Hossam Idrissi Boucteb 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
Hossam Idrissi Boucteb, 504 Hyannis Dr, Holly Springs, NC 27540-8331 Ph: (919) 633-2324	Hossam Idrissi Boucteb, 4109 Wake Forest Rd Ste 200, Raleigh, NC 27609-6262 Ph: (919) 322-0042

Reviews and Comments

Physical Therapist in Raleigh, NC

Nextcare Inc Sole Mbr Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4100 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-872-3403 Fax: 919-872-6066
Ms. Megan Sean Hardisty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4201 Lake Boone Trail Suite 4, Raleigh, NC 27607 Phone: 919-968-3456 Fax: 919-932-3456
Kimberly Briggs Mann, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5920 Sandy Forks Rd Ste 200, Raleigh, NC 27609 Phone: 919-954-3492
Optimum Rehab & Sports Training, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6405 Westgate Rd, Suite 105, Raleigh, NC 27617 Phone: 919-508-6835
Shawn Ryan Moody, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 Duraleigh Rd Ste 100, Raleigh, NC 27612 Phone: 919-788-8797 Fax: 919-788-8798
Courtney Fletcher, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8300 Health Park, Suite 127, Raleigh, NC 27615 Phone: 919-854-6160 Fax: 919-854-6188
Kaitlin Anne Meekins, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8470 Falls Of Neuse Rd, Suite 106, Raleigh, NC 27615 Phone: 919-803-0738

Hossam Idrissi Boucteb, - Medicare Physical Therapist in Raleigh, NC