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.
Physician's Profile
Full Name | Maximina Boutselis |
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Gender | Female |
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Speciality | Diagnostic Radiology |
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Experience | 29 Years |
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Location | 20 Follinsbee Ln, West Newbury, Massachusetts |
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Accepts Medicare Assignments | Yes. 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.
Identifier | Type | State | Issuer |
1013946094 | NPI | - | NPPES |
30200844 | Medicaid | NH | |
0101290 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 156198 (Massachusetts) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 156198 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Memphis Physicians Radiological Group Pc | 9830123736 | 26 |
St Lawrence Radiology Assoc Pc | 2264421122 | 27 |
Ali M Gharagozloo Md Pc | 0446228472 | 9 |
Radiology Group Of Abington Pc | 5991780892 | 82 |
St Lawrence Radiology Assoc Pc | 2264421122 | 27 |
Vpa Pc | 9234041948 | 140 |
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 Name | Memphis Physicians Radiological Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134231574 PECOS PAC ID: 9830123736 Enrollment ID: O20050920001274 |
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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 Address | Practice 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 |
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