Carolyn A Boutwell, CRNA in Birmingham, AL - Medicare Nurse Anesthetist, Certified Registered

Carolyn A Boutwell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Birmingham, Alabama. Her current practice location is 810 St. Vincent's Dr., Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 939-7143.

Carolyn A Boutwell is licensed to practice in Alabama (license number 1-092497) 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 1013952233.

Contact Information

	Carolyn A Boutwell, CRNA
	810 St. Vincent's Dr., Birmingham, AL 35205
	(205) 939-7143
	Not Available

Map and Direction

Provider's Profile

Full Name	Carolyn A Boutwell
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	810 St. Vincent's Dr., Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013952233
Provider Enumeration Date: 06/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3274596408
Enrollment ID: I20050413000413

Medical Identifiers

Medical identifiers for Carolyn A Boutwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013952233	NPI	-	NPPES
009992635	Medicaid	AL
515-26962	Other	AL	BC&BS OF ALABAMA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-092497 (Alabama)	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. Carolyn A Boutwell allows following entities to bill medicare on her behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

Entity Name	Blue Lake Health Alabama, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376266726 PECOS PAC ID: 8325415375 Enrollment ID: O20221103000629

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. Carolyn A Boutwell 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
Carolyn A Boutwell, CRNA Po Box 1123, Jackson, MI 49204-1123 Ph: (800) 242-1131	Carolyn A Boutwell, CRNA 810 St. Vincent's Dr., Birmingham, AL 35205 Ph: (205) 939-7143

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Birmingham, AL

Ladana M. Williams, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-783-3144
James M. Hatchett, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-977-1949
Katherine S. Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-977-1949
Karen Barrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209 Phone: 205-877-1000
Brooklyn Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209 Phone: 205-877-1000
Robert Singley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Montclair Rd, Birmingham, AL 35213 Phone: 205-783-3144
Dr. Andrew Paul Nolen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1802 6th Ave S, Birmingham, AL 35233 Phone: 205-934-3411

Carolyn A Boutwell, CRNA - Medicare Nurse Anesthetist, Certified Registered in Birmingham, AL