Peter R Boutros, LMHC, CASAC in Staten Island, NY

Peter R Boutros, LMHC, CASAC is a medicare enrolled "Counselor - Mental Health" provider in Staten Island, New York. His current practice location is 40 Delmar Ave, Suite A, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (917) 209-3423.

Peter R Boutros is licensed to practice in New York (license number 003124) 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 1477648871.

Contact Information

	Peter R Boutros, LMHC, CASAC
	40 Delmar Ave, Suite A, Staten Island, NY 10312-2875
	(917) 209-3423
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Peter R Boutros
Gender	Male
Speciality	Counselor - Mental Health
Location	40 Delmar Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477648871
Provider Enumeration Date: 10/03/2006
Last Update Date: 09/16/2008

Medicare PECOS Information:

PECOS PAC ID: 3971942285
Enrollment ID: I20240419000996

Medical Identifiers

Medical identifiers for Peter R Boutros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477648871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(New York)	Secondary
101YM0800X	Counselor - Mental Health	003124 (New York)	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. Peter R Boutros allows following entities to bill medicare on his behalf.

Entity Name	National Neighborhood Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457352098 PECOS PAC ID: 1052202157 Enrollment ID: O20040319001569

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. Peter R Boutros 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
Peter R Boutros, LMHC, CASAC 40 Delmar Ave, Staten Island, NY 10312-2875 Ph: (718) 701-4736	Peter R Boutros, LMHC, CASAC 40 Delmar Ave, Suite A, Staten Island, NY 10312-2875 Ph: (917) 209-3423

Reviews and Comments

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Peter R Boutros, LMHC, CASAC - Medicare Counselor in Staten Island, NY