Ms Sally Ann Boutte, LIC AC is a
Acupuncturist based in Conway, Massachusetts. Ms Sally Ann Boutte is licensed to practice in Massachusetts (license number 179) and her current practice location is
25 Main Street, Conway, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(413) 369-4716.
NPI number for Ms Sally Ann Boutte is 1982780169 and her current mailing address is 675 Walton Ave Apt 3c, Bronx, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982780169.
Healthcare Provider's Profile
Full Name | Ms Sally Ann Boutte |
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Gender | Female |
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Speciality | Acupuncturist |
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Location | 25 Main Street, Conway, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982780169
- Provider Enumeration Date: 10/31/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Sally Ann Boutte such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982780169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 179 (Massachusetts) | Primary |
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. Ms Sally Ann Boutte is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Sally Ann Boutte, LIC AC 675 Walton Ave Apt 3c, Bronx, NY 10451-2569 Ph: (347) 284-3261 | Ms Sally Ann Boutte, LIC AC 25 Main Street, Conway, MA 10341 Ph: (413) 369-4716 |
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