Dr Megan Boutinen, PHD is a medicare enrolled "Psychologist" provider in Austin, Texas. Her current practice location is
2802 Flintrock Trce Ste 203, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 559-3877.
Dr Megan Boutinen is licensed to practice in Texas (license number 40535) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255780219.
Healthcare Provider's Profile
| Full Name | Dr Megan Boutinen |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 2802 Flintrock Trce Ste 203, Austin, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1255780219
- Provider Enumeration Date: 06/09/2016
- Last Update Date: 01/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971860495
- Enrollment ID: I20180220000646
Medical Identifiers
Medical identifiers for Dr Megan Boutinen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255780219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LH60576837 (Washington) | Secondary |
| 103T00000X | Psychologist | PY60708359 (Washington) | Secondary |
| 103T00000X | Psychologist | 40535 (Texas) | 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. Dr Megan Boutinen allows following entities to bill medicare on her behalf.
| Entity Name | Optum Care Washington Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922 |
|---|
| Entity Name | Shifa Health Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1356415327
PECOS PAC ID: 9638070501
Enrollment ID: O20040115000310 |
|---|
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. Dr Megan Boutinen 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 |
|---|
Dr Megan Boutinen, PHD
2802 Flintrock Trce Ste 203,
Austin, TX 78738-1744
Ph: (512) 559-3877 | Dr Megan Boutinen, PHD
2802 Flintrock Trce Ste 203,
Austin, TX 78738-1744
Ph: (512) 559-3877 |
Reviews and Comments