Mr Justin Boutwell, PA in Broken Bow, NE - Medicare Physician Assistant

Mr Justin Boutwell, PA is a medicare enrolled "Physician Assistant - Medical" in Broken Bow, Nebraska. His current practice location is 145 Memorial Dr, Broken Bow, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 872-2486.

Mr Justin Boutwell is licensed to practice in Nebraska (license number 2387) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861959017.

Contact Information

	Mr Justin Boutwell, PA
	145 Memorial Dr, Broken Bow, NE 68822-1378
	(308) 872-2486
	(308) 872-2027

Map and Direction

Provider's Profile

Full Name	Mr Justin Boutwell
Gender	Male
Speciality	Physician Assistant - Medical
Location	145 Memorial Dr, Broken Bow, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861959017
Provider Enumeration Date: 02/25/2019
Last Update Date: 08/19/2019

Medicare PECOS Information:

PECOS PAC ID: 9234467309
Enrollment ID: I20190827004075

Medical Identifiers

Medical identifiers for Mr Justin Boutwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861959017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	2387 (Nebraska)	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. Mr Justin Boutwell allows following entities to bill medicare on his behalf.

Entity Name	Phelps Memorial Health Center
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1629035936 PECOS PAC ID: 9931011947 Enrollment ID: O20071129000753

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. Mr Justin 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
Mr Justin Boutwell, PA 145 Memorial Dr, Broken Bow, NE 68822-1378 Ph: (308) 991-4571	Mr Justin Boutwell, PA 145 Memorial Dr, Broken Bow, NE 68822-1378 Ph: (308) 872-2486

Reviews and Comments

Physician Assistant Nurses in Broken Bow, NE

Mrs. Angie Marie Hunt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Memorial Dr., Broken Bow, NE 68822 Phone: 308-872-2486 Fax: 308-872-2027
Jacob D Karmazin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Memorial Dr, Broken Bow, NE 68822 Phone: 308-872-2486 Fax: 308-872-2027
Hallee Elaine Williams, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 145 Memorial Dr, Broken Bow, NE 68822 Phone: 308-872-4100

Mr Justin Boutwell, PA - Medicare Physician Assistant in Broken Bow, NE