Jimmy Roger Boutin, MD in Wyandotte, MI

Jimmy Roger Boutin, MD is a medicare enrolled "Anesthesiology" physician in Wyandotte, Michigan. His current practice location is 2333 Biddle St, Wyandotte, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 246-7913.

Jimmy Roger Boutin is licensed to practice in Michigan (license number 4301055999) 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 1417976937.

Contact Information

	Jimmy Roger Boutin, MD
	2333 Biddle St, Wyandotte, MI 48192-4668
	(734) 246-7913
	(734) 246-6968

Map and Direction

Physician's Profile

Full Name	Jimmy Roger Boutin
Gender	Male
Speciality	Anesthesiology
Location	2333 Biddle St, Wyandotte, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417976937
Provider Enumeration Date: 07/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0345219671
Enrollment ID: I20110106000800

Medical Identifiers

Medical identifiers for Jimmy Roger Boutin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417976937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	4301055999 (Michigan)	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. Jimmy Roger Boutin allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Anesthesia Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386679868 PECOS PAC ID: 8921077249 Enrollment ID: O20041001000930

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. Jimmy Roger 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
Jimmy Roger Boutin, MD 2333 Biddle St, Wyandotte, MI 48192-4668 Ph: (734) 246-7913	Jimmy Roger Boutin, MD 2333 Biddle St, Wyandotte, MI 48192-4668 Ph: (734) 246-7913

Reviews and Comments

Anesthesiology Doctors in Wyandotte, MI

Dr. Sonya Marie Elgammal, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000
Francis G Nazareno, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968
Charles Raymond, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968
Jill E Wiesenberger, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968
Mr. Gabriel L Alcodray, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000
Timothy Lozon Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000

Jimmy Roger Boutin, MD - Medicare Anesthesiology in Wyandotte, MI