Chandel Marie Bouthot, FNP in Newtown, CT - Medicare Nurse Practitioner

Chandel Marie Bouthot, FNP is a medicare enrolled "Nurse Practitioner - Family" in Newtown, Connecticut. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pcma Palliative Division Llc and her current practice location is 164 Mount Pleasant Rd Ste 202, Newtown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 270-1016.

Chandel Marie Bouthot is licensed to practice in Connecticut (license number 12091) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1821774068.

Contact Information

	Chandel Marie Bouthot, FNP
	164 Mount Pleasant Rd Ste 202, Newtown, CT 06470-1477
	(203) 270-1016
	Not Available

Map and Direction

Provider's Profile

Full Name	Chandel Marie Bouthot
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	164 Mount Pleasant Rd Ste 202, Newtown, Connecticut
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chandel Marie Bouthot graduated from nursing school in 2023

NPI Data:

NPI Number: 1821774068
Provider Enumeration Date: 06/23/2023
Last Update Date: 01/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4880040849
Enrollment ID: I20241121004005

Medical Identifiers

Medical identifiers for Chandel Marie Bouthot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821774068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12091 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pcma Palliative Division Llc	1456613637	46

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. Chandel Marie Bouthot allows following entities to bill medicare on her behalf.

Entity Name	Pcma Palliative Division Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629585054 PECOS PAC ID: 1456613637 Enrollment ID: O20210421001740

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. Chandel Marie Bouthot 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
Chandel Marie Bouthot, FNP 5231 Avalon Dr W, Orange, CT 06477-3677 Ph: () -	Chandel Marie Bouthot, FNP 164 Mount Pleasant Rd Ste 202, Newtown, CT 06470-1477 Ph: (203) 270-1016

Reviews and Comments

Nurse Practitioner Nurses in Newtown, CT

Cheryl A Rosenthal, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 54 S Main St, Newtown, CT 06470 Phone: 203-270-7592
Natalie Elisabeth Martin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Fieldstone Dr, Newtown, CT 06470 Phone: 203-648-1418
Mrs. Tiffany Rydz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32 Church Hill Rd, Newtown, CT 06470 Phone: 203-304-9725
Miluska Valeria Ciurlizza, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Mount Pleasant Rd, Newtown, CT 06470 Phone: 203-426-1818
Dr. Jeannie Virginia Pasacreta, APRN, PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Abbey Ln, Newtown, CT 06470 Phone: 203-270-0080 Fax: 203-304-1191
Ashley Portela, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 266 S Main St, Newtown, CT 06470 Phone: 860-650-3848
Delvyann Gordon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Mount Pleasant Rd Ste 202, Newtown, CT 06470 Phone: 203-270-1016 Fax: 203-270-0089

Chandel Marie Bouthot, FNP - Medicare Nurse Practitioner in Newtown, CT