Matthew Bouteiller, PA-C - Medicare Physician Assistant in Lebanon, NH

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Matthew Bouteiller, PA-C is a medicare enrolled "Physician Assistant" in Lebanon, New Hampshire. He graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Springfield Hospital Inc. and his current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-5000.

Matthew Bouteiller is licensed to practice in New Hampshire (license number 3590) 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 1912098591.

Contact Information

Matthew Bouteiller, PA-C
1 Medical Center Dr,
Lebanon, NH 03756-1000
(603) 650-5000
Not Available

Map and Direction




Provider's Profile

Full NameMatthew Bouteiller
GenderMale
SpecialityPhysician Assistant
Experience24 Years
Location1 Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew Bouteiller graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1912098591
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 01/30/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3072522606
  • Enrollment ID: I20160428000168

Medical Identifiers

Medical identifiers for Matthew Bouteiller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912098591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3590 (New Hampshire)Primary
363A00000XPhysician Assistant AP2108 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gifford Medical CenterRandolph, VTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Hospital Inc.650776033763

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. Matthew Bouteiller allows following entities to bill medicare on his behalf.
Entity NameSpringfield Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033225875
PECOS PAC ID: 6507760337
Enrollment ID: O20040421000503
Entity NameGifford Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942329446
PECOS PAC ID: 4880683663
Enrollment ID: O20040507000460
Entity NameGifford Medical Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1730199647
PECOS PAC ID: 4880683663
Enrollment ID: O20121119000002

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. Matthew Bouteiller 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
Matthew Bouteiller, PA-C
Po Box 810,
Hanover, NH 03755-0810

Ph: Not Available		Matthew Bouteiller, PA-C
1 Medical Center Dr,
Lebanon, NH 03756-1000

Ph: (603) 650-5000

Reviews and Comments


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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.