Dr Shadi Boutros, DDS in Martinez, CA - Medicare Dentist Provider

Dr Shadi Boutros, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Martinez, California. His current practice location is 2500 Alhambra Ave, Martinez, California. You can reach out to his office (for appointments etc.) via phone at (925) 370-5200.

Dr Shadi Boutros is licensed to practice in California (license number 54887) 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 1457489239.

Contact Information

	Dr Shadi Boutros, DDS
	2500 Alhambra Ave, Martinez, CA 94553-3156
	(925) 370-5200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shadi Boutros
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	2500 Alhambra Ave, Martinez, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457489239
Provider Enumeration Date: 03/01/2007
Last Update Date: 05/13/2015

Medicare PECOS Information:

PECOS PAC ID: 6901107531
Enrollment ID: I20151223001208

Medical Identifiers

Medical identifiers for Dr Shadi Boutros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457489239	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	54887 (California)	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. Dr Shadi 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
Dr Shadi Boutros, DDS 2500 Alhambra Ave, Martinez, CA 94553-3156 Ph: (925) 370-5200	Dr Shadi Boutros, DDS 2500 Alhambra Ave, Martinez, CA 94553-3156 Ph: (925) 370-5200

Reviews and Comments

Dentist in Martinez, CA

Ronald Power, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142
Gary P Yee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 Alhambra Avenue, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142
Ruben Espinoza, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 582 Center Ave, Martinez, CA 94553 Phone: 925-626-0111
Domenic Cavallaro, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 Alhambra Avenue, Contra Costa Regional Medical Center And Health Centers, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142
Stacy Silva, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4111 Alhambra Ave, Martinez, CA 94553 Phone: 925-957-0148
Brian James Hathcoat, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5110 Fax: 925-370-5142
Dr. Mi-jin Kim, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4111 Alhambra Ave, Martinez, CA 94553 Phone: 925-957-0148

Dr Shadi Boutros, DDS - Medicare Dentist in Martinez, CA