Chad Ryan Bouterse, DO in Clarkston, WA

Chad Ryan Bouterse, DO is a medicare enrolled "Ophthalmology" physician in Clarkston, Washington. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye Care Specialists Ps, Eye Care Specialists Ps and his current practice location is 500 Port Dr, Clarkston, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 758-8811.

Chad Ryan Bouterse is licensed to practice in Washington (license number OP60127012) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699896167.

Contact Information

	Chad Ryan Bouterse, DO
	500 Port Dr, Clarkston, WA 99403-1835
	(509) 758-8811
	(509) 751-1188

Map and Direction

Physician's Profile

Full Name	Chad Ryan Bouterse
Gender	Male
Speciality	Ophthalmology
Experience	20 Years
Location	500 Port Dr, Clarkston, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chad Ryan Bouterse attended and graduated from Michigan State University College Of Osteopathic Medicine in 2005

NPI Data:

NPI Number: 1699896167
Provider Enumeration Date: 04/03/2007
Last Update Date: 05/28/2010

Medicare PECOS Information:

PECOS PAC ID: 0648321224
Enrollment ID: I20100225000087

Medical Identifiers

Medical identifiers for Chad Ryan Bouterse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699896167	NPI	-	NPPES
0080BO	Other		ASURIS - CLARKSTON
1699896167	Other		FEDERAL BLUE CROSS
808567101	Other	ID	MEDICAID - PULLMAN
258958	Other	WA	WASHINGTON LABOR & INDUSTRY
808567100	Other	ID	MEDICAID - CLARKSTON
1699896167	Other		PREMERA BLUE CROSS
0081BO	Other		ASURIS - PULLMAN
O 0570	Other	ID	STATE LICENSE
OP60127012	Other	WA	STATE LICENSE
1699896167	Other		REGENCE BLUE SHIELD
1699896167	Other		BLUE CROSS OF IDAHO
8564387	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	5101016467 (Michigan)	Secondary
207W00000X	Ophthalmology	OP60127012 (Washington)	Primary
207W00000X	Ophthalmology	O 570 (Idaho)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tri-state Memorial Hospital	Clarkston, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Care Specialists Ps	3779473723	2
Eye Care Specialists Ps	3779473723	2

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. Chad Ryan Bouterse allows following entities to bill medicare on his behalf.

Entity Name	Eye Care Specialists Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639160450 PECOS PAC ID: 3779473723 Enrollment ID: O20040317000302

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. Chad Ryan Bouterse 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
Chad Ryan Bouterse, DO 500 Port Dr, Clarkston, WA 99403-1835 Ph: (509) 758-8811	Chad Ryan Bouterse, DO 500 Port Dr, Clarkston, WA 99403-1835 Ph: (509) 758-8811

Reviews and Comments

Ophthalmology Doctors in Clarkston, WA

Mark T Eggleston, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 Port Drive, Clarkston, WA 99403 Phone: 509-758-8811 Fax: 509-751-1188
Mr. Richard J Eggleston, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 500 Port Dr, Clarkston, WA 99403 Phone: 509-758-8811 Fax: 509-751-1188

Chad Ryan Bouterse, DO - Medicare Ophthalmology in Clarkston, WA