Emmanuel Bouloute, NP in Dorchester, MA - Medicare Nurse Practitioner

Emmanuel Bouloute, NP is a medicare enrolled "Nurse Practitioner" in Dorchester, Massachusetts. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Codman Square Health Center, Inc and his current practice location is 637 Washington St, Dorchester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 825-9660.

Emmanuel Bouloute is licensed to practice in Massachusetts (license number RN2284528) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942608674.

Contact Information

	Emmanuel Bouloute, NP
	637 Washington St, Dorchester, MA 02124-3510
	(617) 825-9660
	(617) 288-7898

Map and Direction

Provider's Profile

Full Name	Emmanuel Bouloute
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	637 Washington St, Dorchester, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Emmanuel Bouloute graduated from nursing school in 2014

NPI Data:

NPI Number: 1942608674
Provider Enumeration Date: 12/11/2014
Last Update Date: 12/11/2014

Medicare PECOS Information:

PECOS PAC ID: 8022326461
Enrollment ID: I20151005000305

Medical Identifiers

Medical identifiers for Emmanuel Bouloute such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942608674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN2284528 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Boston Medical Center	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Codman Square Health Center, Inc	8123013869	54

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. Emmanuel Bouloute allows following entities to bill medicare on his behalf.

Entity Name	Codman Square Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396808309 PECOS PAC ID: 8123013869 Enrollment ID: O20040420000859

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200204002341

Entity Name	Healthfair Plus Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20211103001058

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. Emmanuel Bouloute 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
Emmanuel Bouloute, NP 637 Washington St, Dorchester, MA 02124-3510 Ph: (617) 825-9660	Emmanuel Bouloute, NP 637 Washington St, Dorchester, MA 02124-3510 Ph: (617) 825-9660

Reviews and Comments

Nurse Practitioner Nurses in Dorchester, MA

Karla I Noonan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 632 Blue Hill Ave, Dorchester, MA 02121 Phone: 617-825-3400
Jocelyn Loftus, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 398 Neponset Ave, Dorchester, MA 02122 Phone: 617-282-3200 Fax: 617-282-7928
Allison Foley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 398 Neponset Ave, Dorchester, MA 02122 Phone: 617-282-3200 Fax: 617-282-8201
Rachel Marino, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 Harvard St, Dorchester, MA 02124 Phone: 978-857-5961
Ms. Denise Marie Croken, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 637 Washington St, Dorchester, MA 02124 Phone: 617-825-9660
Kathleen Black Tenerowicz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1353 Dorchester Ave, Dorchester, MA 02122 Phone: 617-288-3230 Fax: 617-825-4972
Jane F Tuitt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 637 Washington St, Dorchester, MA 02124 Phone: 617-822-8211 Fax: 617-288-7898

Emmanuel Bouloute, NP - Medicare Nurse Practitioner in Dorchester, MA