| Dr Julie A Boutt, MD | |
|
4071 24th Ave, Fort Gratiot, MI 48059-3801 | |
| (810) 824-4222 | |
| (810) 824-4220 |
| Full Name | Dr Julie A Boutt |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 4071 24th Ave, Fort Gratiot, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285749549 | NPI | - | NPPES |
| 1285749549 | Medicaid | MI | |
| 383662851 | Other | MI | PPOM |
| 4643528 | Medicaid | MI | |
| 0807410461 | Other | MI | BLUE CROSS/BLUE SHIELD |
| 9153443002 | Other | MI | CIGNA HEALTHCARE HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | JB070145 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Port Huron | Port huron, MI | Hospital |
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Horizon Family Medicine Pllc | 9830524941 | 2 |
| Entity Name | Horizon Family Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427693761 PECOS PAC ID: 9830524941 Enrollment ID: O20200120000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julie A Boutt, MD 4071 24th Ave, Fort Gratiot, MI 48059-3801 Ph: (810) 824-4222 | Dr Julie A Boutt, MD 4071 24th Ave, Fort Gratiot, MI 48059-3801 Ph: (810) 824-4222 |
Farrukh Zaman Naqvi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Dr. Rubaiya Faruque, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave Ste 208, Fort Gratiot, MI 48059 Phone: 810-216-4400 | |
Daniel C Souphis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Christopher J Borgiel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Gail F Mcintyre, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3061 Commerce Dr, Suite 5, Fort Gratiot, MI 48059 Phone: 810-385-6663 Fax: 810-385-6322 | |
Jude L Stratford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3903 Stoney Ridge Dr, Fort Gratiot, MI 48059 Phone: 810-385-2295 |