Angelique Eleni Boutzoukas, MD in Durham, NC

Angelique Eleni Boutzoukas, MD is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Durham, North Carolina. Her current practice location is 2301 Erwin Rd, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 684-8111.

Angelique Eleni Boutzoukas is licensed to practice in North Carolina (license number 2020-01625) 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 1669903829.

Contact Information

	Angelique Eleni Boutzoukas, MD
	2301 Erwin Rd, Durham, NC 27705-4699
	(919) 684-8111
	Not Available

Map and Direction

Physician's Profile

Full Name	Angelique Eleni Boutzoukas
Gender	Female
Speciality	Pediatrics - Pediatric Infectious Diseases
Location	2301 Erwin Rd, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669903829
Provider Enumeration Date: 03/21/2017
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9931470234
Enrollment ID: I20230816003715

Medical Identifiers

Medical identifiers for Angelique Eleni Boutzoukas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669903829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0208X	Pediatrics - Pediatric Infectious Diseases	2020-01625 (North Carolina)	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. Angelique Eleni Boutzoukas allows following entities to bill medicare on her behalf.

Entity Name	Duke Health Integrated Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247

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. Angelique Eleni Boutzoukas 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
Angelique Eleni Boutzoukas, MD 300 W Morgan St Ste 772, Durham, NC 27701-2162 Ph: (919) 684-8111	Angelique Eleni Boutzoukas, MD 2301 Erwin Rd, Durham, NC 27705-4699 Ph: (919) 684-8111

Reviews and Comments

Pediatrics Doctors in Durham, NC

Candice Marlow Ray, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111
Vinod Prasad, Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467
Michelle Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Duke University Medical Ctr, Durham, NC 27710 Phone: 919-620-4467
Dr. Vijaya Kumar Konda Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111
May Kuo Slowik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111
Dwight Dudley Koeberl, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467
Ira Cheifetz, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467

Angelique Eleni Boutzoukas, MD - Medicare Pediatrics in Durham, NC