Dana Boucek, in Salt Lake City, UT - Medicare Pediatric Medicine

Dana Boucek, is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Salt Lake City, Utah. She went to University Of Colorado School Of Medicine, Denver and graduated in 2011 and has 13 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice University Of Utah Pediatric Services and her current practice location is 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 662-5700.

Dana Boucek is licensed to practice in Pennsylvania (license number MD460722) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154612117.

Contact Information

	Dana Boucek,
	100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113
	(801) 662-5700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dana Boucek
Gender	Female
Speciality	Pediatric Medicine
Experience	13 Years
Location	100 North Mario Capecchi Dr., Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dana Boucek attended and graduated from University Of Colorado School Of Medicine, Denver in 2011

NPI Data:

NPI Number: 1154612117
Provider Enumeration Date: 04/26/2011
Last Update Date: 10/28/2021

Medicare PECOS Information:

PECOS PAC ID: 2961634977
Enrollment ID: I20190320000741

Medical Identifiers

Medical identifiers for Dana Boucek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154612117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	MD460722 (Pennsylvania)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Pediatric Services	0547552473	70

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. Dana Boucek allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Dana Boucek 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
Dana Boucek, 3601 Market St Unit 1713, Philadelphia, PA 19104-5914 Ph: (303) 746-7692	Dana Boucek, 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 Ph: (801) 662-5700

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588
Michelle Ploutz, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 018-213-7778

Dana Boucek, - Medicare Pediatric Medicine in Salt Lake City, UT