Mrs Lauren Katharine Ebe Bouton, MD in Berkeley, CA

Mrs Lauren Katharine Ebe Bouton, MD is a medicare enrolled "Pediatrics" physician in Berkeley, California. Her current practice location is 2999 Regent Street Suite 325, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (925) 438-1100.

Mrs Lauren Katharine Ebe Bouton is licensed to practice in Oregon (license number MD184216) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134411861.

Contact Information

	Mrs Lauren Katharine Ebe Bouton, MD
	2999 Regent Street Suite 325, Berkeley, CA 94705
	(925) 438-1100
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Lauren Katharine Ebe Bouton
Gender	Female
Speciality	Pediatrics
Location	2999 Regent Street Suite 325, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134411861
Provider Enumeration Date: 05/13/2011
Last Update Date: 11/05/2025

Medicare PECOS Information:

PECOS PAC ID: 2860616281
Enrollment ID: I20171013001060

Medical Identifiers

Medical identifiers for Mrs Lauren Katharine Ebe Bouton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134411861	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD184216 (Oregon)	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. Mrs Lauren Katharine Ebe Bouton allows following entities to bill medicare on her behalf.

Entity Name	Salem Health Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285774257 PECOS PAC ID: 5294094769 Enrollment ID: O20180109003027

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. Mrs Lauren Katharine Ebe Bouton 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
Mrs Lauren Katharine Ebe Bouton, MD 2999 Regent Street Suite 325, Berkeley, CA 94705 Ph: (925) 395-1140	Mrs Lauren Katharine Ebe Bouton, MD 2999 Regent Street Suite 325, Berkeley, CA 94705 Ph: (925) 438-1100

Reviews and Comments

Pediatrics Doctors in Berkeley, CA

Dr. Jaleh Niazi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Colusa Ave Ste 204, Berkeley, CA 94707 Phone: 510-465-4445
Courtney Wedl Pickering, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2999 Regent St Suite 325, Berkeley, CA 94705 Phone: 925-438-1100 Fax: 925-254-1054
Lisa S Kalar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566
Jennifer A Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2999 Regent St Ste 325, Berkeley, CA 94705 Phone: 925-438-1110 Fax: 510-841-5650
Gilbert Duritz, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 36 El Camino Real, Berkeley, CA 94705 Phone: 510-848-4581
Olivia Lang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566

Mrs Lauren Katharine Ebe Bouton, MD - Medicare Pediatrics in Berkeley, CA