| Anthony W Boutt, MD | |
|
1522 Pine Grove Ave, Suite C, Port Huron, MI 48060-3382 | |
| (810) 987-3556 | |
| (810) 987-5090 |
| Full Name | Anthony W Boutt |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 28 Years |
| Location | 1522 Pine Grove Ave, Port Huron, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265506497 | NPI | - | NPPES |
| 0740213 | Other | MI | BCBS |
| H66438 | Other | HAP | |
| 134086 | Other | CARE CHOICE | |
| 7115359 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301070173 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Port Huron | Port huron, MI | Hospital |
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Entity Name | Anthony W Boutt Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073939732 PECOS PAC ID: 9436471141 Enrollment ID: O20141209000957 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony W Boutt, MD 1522 Pine Grove Ave, Suite C, Port Huron, MI 48060-3382 Ph: (810) 987-3556 | Anthony W Boutt, MD 1522 Pine Grove Ave, Suite C, Port Huron, MI 48060-3382 Ph: (810) 987-3556 |
Dawn Elaine Morey, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2609 Electric Ave, Ste B, Port Huron, MI 48060 Phone: 810-985-1148 Fax: 810-985-1149 | |
Krishna D Valjee, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2609 Electric Ave, Suite C, Port Huron, MI 48060 Phone: 810-216-1148 Fax: 810-216-1149 | |
Dr. Karen Nichole Mcfarlane, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1221 Richardson St, Port Huron, MI 48060 Phone: 810-662-0400 Fax: 810-824-3576 | |
Zubin Bhesania, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1522 Pine Grove Ave, Suite C, Port Huron, MI 48060 Phone: 810-987-3556 Fax: 810-987-5090 | |
Dr. Syed S Hossain, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2603 Electric Ave, Suite A, Port Huron, MI 48060 Phone: 810-985-1300 | |
Dr. Sadiq Hussain, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave, Suite C, Port Huron, MI 48060 Phone: 810-985-1300 Fax: 810-985-1659 |