Nicole Boutaugh, DO - Medicare Family Practice in Lewiston, ME

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Nicole Boutaugh, DO is a medicare enrolled "Hospitalist" physician in Lewiston, Maine. She went to University Of New England, College Of Osteo Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Central Maine Medical Center and her current practice location is 300 Main St, Lewiston, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 795-7575.

Nicole Boutaugh is licensed to practice in Maine (license number DO2563) 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 1144668914.

Contact Information

Nicole Boutaugh, DO
300 Main St,
Lewiston, ME 04240-7027
(207) 795-7575
Not Available

Map and Direction




Physician's Profile

Full NameNicole Boutaugh
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location300 Main St, Lewiston, Maine
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:
  • Nicole Boutaugh attended and graduated from University Of New England, College Of Osteo Medicine in 2013
  NPI Data:
  • NPI Number: 1144668914
  • Provider Enumeration Date: 06/13/2013
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2961625892
  • Enrollment ID: I20160425001281

Medical Identifiers

Medical identifiers for Nicole Boutaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144668914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine TP13108 (Maine)Secondary
208M00000XHospitalist DO2563 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Central Maine Medical CenterLewiston, MEHospital
Rumford HospitalRumford, MEHospital
St Mary's Regional Medical CenterLewiston, MEHospital
Montello ManorLewiston, MENursing home
Rumford Community HomeRumford, MENursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Maine Medical Center2567379563332

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. Nicole Boutaugh allows following entities to bill medicare on her behalf.
Entity NameBridgton Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154370153
PECOS PAC ID: 8123919099
Enrollment ID: O20040322000534
Entity NameCentral Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689653487
PECOS PAC ID: 2567379563
Enrollment ID: O20040324000441
Entity NameRumford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205991122
PECOS PAC ID: 3870583511
Enrollment ID: O20040514000890
Entity NameRumford Community Family Health Center Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578599775
PECOS PAC ID: 1557340460
Enrollment ID: O20040715000176

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. Nicole Boutaugh 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
Nicole Boutaugh, DO
300 Main St,
Lewiston, ME 04240-7027

Ph: (207) 795-7575		Nicole Boutaugh, DO
300 Main St,
Lewiston, ME 04240-7027

Ph: (207) 795-7575

Reviews and Comments


Hospitalist Doctors in Lewiston, ME

Amanda J Gagnon, DO
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 300 Main St, Lewiston, ME 04240
Phone: 207-662-0111    
Dr. Tison Thomas, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 93 Campus Ave, Lewiston, ME 04240
Phone: 207-333-4677    Fax: 207-333-4679

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.