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

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 29 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Memphis Physicians Radiological Group Pc, St Lawrence Radiology Assoc Pc, Ali M Gharagozloo Md Pc, Radiology Group Of Abington Pc, St Lawrence Radiology Assoc Pc, Vpa Pc 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 Massachusetts (license number 156198) 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
Experience29 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: 10/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6002002151
  • Enrollment ID: I20220912002287

Medical Identifiers

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

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 156198 (Massachusetts)Secondary
2085R0202XRadiology - Diagnostic Radiology 156198 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Abington Memorial HospitalAbington, PAHospital
Claxton-hepburn Medical CenterOgdensburg, NYHospital
Abington Health Lansdale HospitalLansdale, PAHospital
Canton-potsdam HospitalPotsdam, NYHospital
Oneida Healthcare CenterOneida, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memphis Physicians Radiological Group Pc983012373626
St Lawrence Radiology Assoc Pc226442112227
Ali M Gharagozloo Md Pc04462284729
Radiology Group Of Abington Pc599178089282
St Lawrence Radiology Assoc Pc226442112227
Vpa Pc9234041948140

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 NameMemphis Physicians Radiological Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134231574
PECOS PAC ID: 9830123736
Enrollment ID: O20050920001274

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
20 Follinsbee Lane,
West Newbury, MA 01985-4201

Ph: (888) 886-5238
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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