Maximina Boutselis, MD - Medicare Diagnostic Radiology in West Newbury, MA

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Maximina Boutselis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in West Newbury, Massachusetts. She went to University Of Connecticut School Of Medicine and graduated in 1995 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Ali M Gharagozloo Md Pc, St Lawrence Radiology Assoc Pc, Amboy Medical Practice, P.c., Smi Imaging Llc, Health Diagnostics Of California A Professional Corporation, Simonmed Imaging Florida Llc, Vpa Pc, Monongahela Valley Hospital Inc, Dubois Regional Medical Center, St Lawrence Radiology Assoc Pc, Third Avenue Imaging Llc, Distinguished Diagnostic Imaging Pc, White-wilson Medical Center Pa, Navajo Health Foundation-sage Memorial Hospital, Inc., County Of Clay and her current practice location is 20 Follinsbee Ln, West Newbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 761-4606.

Maximina Boutselis is licensed to practice in Florida (license number ME110153) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013946094.

Contact Information

Maximina Boutselis, MD
20 Follinsbee Ln,
West Newbury, MA 01985-4201
(978) 761-4606
Not Available

Map and Direction




Physician's Profile

Full NameMaximina Boutselis
GenderFemale
SpecialityDiagnostic Radiology
Experience31 Years
Location20 Follinsbee Ln, West Newbury, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maximina Boutselis attended and graduated from University Of Connecticut School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1013946094
  • Provider Enumeration Date: 07/01/2006
  • Last Update Date: 12/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7810183969
  • Enrollment ID: I20101201000413

Medical Identifiers

Medical identifiers for Maximina Boutselis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013946094NPI-NPPES
04916809MedicaidNY
0101290MedicaidMA
30200844MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 156198 (Massachusetts)Secondary
2085R0202XRadiology - Diagnostic Radiology MD443290 (Pennsylvania)Secondary
2085R0202XRadiology - Diagnostic Radiology ME110153 (Florida)Primary
2085R0202XRadiology - Diagnostic Radiology 260855 (New York)Secondary
208D00000XGeneral Practice 156198 (Massachusetts)Secondary
2085R0202XRadiology - Diagnostic Radiology 036139315 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Richmond University Medical CenterStaten island, NYHospital
Oneida Healthcare CenterOneida, NYHospital
Auburn Community HospitalAuburn, NYHospital
Penn Highland DuboisDubois, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ali M Gharagozloo Md Pc04462284727
St Lawrence Radiology Assoc Pc226442112223
Amboy Medical Practice, P.c.2860538170157
Smi Imaging Llc3476696220255
Health Diagnostics Of California A Professional Corporation4284621525119
Simonmed Imaging Florida Llc6608036108166
Vpa Pc9234041948139
Monongahela Valley Hospital Inc014311760625
Dubois Regional Medical Center5890689715361
St Lawrence Radiology Assoc Pc226442112223
Third Avenue Imaging Llc27697501244
Distinguished Diagnostic Imaging Pc97390799064
White-wilson Medical Center Pa408251060779
Navajo Health Foundation-sage Memorial Hospital, Inc.216333234756
County Of Clay004210198237

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. Maximina Boutselis allows following entities to bill medicare on her behalf.
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20190124000133
Entity NameHudson Valley Radiology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174574115
PECOS PAC ID: 4486567690
Enrollment ID: O20200729000936
Entity NameLenox Hill Radiology & Medical Imaging Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821036807
PECOS PAC ID: 2264424712
Enrollment ID: O20200818001354
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336153295
PECOS PAC ID: 9234041948
Enrollment ID: O20210601002366
Entity NameWellington Imaging Associates, P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689665499
PECOS PAC ID: 3779484613
Enrollment ID: O20220104002974
Entity NameSt Lawrence Radiology Assoc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154380863
PECOS PAC ID: 2264421122
Enrollment ID: O20220802000280
Entity NameRegional Radiology Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396714622
PECOS PAC ID: 8123063864
Enrollment ID: O20220815001810
Entity NameOlean Radiology P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700829850
PECOS PAC ID: 9133118862
Enrollment ID: O20220926000880
Entity NameCentre Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306841929
PECOS PAC ID: 2961455183
Enrollment ID: O20221006001602
Entity NameShps Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790421089
PECOS PAC ID: 7315325933
Enrollment ID: O20221010000582
Entity NameAli M Gharagozloo Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831182633
PECOS PAC ID: 0446228472
Enrollment ID: O20221021001687
Entity NameRadiology Group Of Abington Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477541035
PECOS PAC ID: 5991780892
Enrollment ID: O20221121002382
Entity NameNetwork Imaging Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588739247
PECOS PAC ID: 1355373895
Enrollment ID: O20230104000981
Entity NameSeaway Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124012018
PECOS PAC ID: 6305837584
Enrollment ID: O20230505002001
Entity NameAmboy Medical Practice, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104692672
PECOS PAC ID: 2860538170
Enrollment ID: O20240402001749
Entity NameRadiology Associates Of Clearwater
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982694899
PECOS PAC ID: 5496732067
Enrollment ID: O20240827001389
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20241007001450
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20241022001282
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20241023001653
Entity NameRegional Imaging Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346027976
PECOS PAC ID: 7113372236
Enrollment ID: O20241202001051
Entity NameMount Nittany Medical Center Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598992554
PECOS PAC ID: 8426136797
Enrollment ID: O20241213003202
Entity NameAdvanced Imaging Diagnostics Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740991975
PECOS PAC ID: 6305217860
Enrollment ID: O20250227000228

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. Maximina Boutselis 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 AddressPractice Location Address
Maximina Boutselis, MD
216 Northern Blvd,
Newburyport, MA 01950-4409

Ph: (978) 761-4606		Maximina Boutselis, MD
20 Follinsbee Ln,
West Newbury, MA 01985-4201

Ph: (978) 761-4606

Reviews and Comments


Radiology Doctors in West Newbury, MA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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