Donald Alan Boutry, MD in Tacoma, WA - Medicare Obstetrics & Gynecology

Donald Alan Boutry, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tacoma, Washington. His current practice location is 314 Martin Luther King Jr Way, Suite 104, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 403-5432.

Donald Alan Boutry is licensed to practice in Washington (license number MD00025494) 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 1336134089.

Contact Information

	Donald Alan Boutry, MD
	314 Martin Luther King Jr Way, Suite 104, Tacoma, WA 98405-4250
	(253) 403-5432
	Not Available

Map and Direction

Physician's Profile

Full Name	Donald Alan Boutry
Gender	Male
Speciality	Obstetrics & Gynecology
Location	314 Martin Luther King Jr Way, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336134089
Provider Enumeration Date: 09/19/2005
Last Update Date: 01/30/2012

Medicare PECOS Information:

PECOS PAC ID: 6608837562
Enrollment ID: I20041023000135

Medical Identifiers

Medical identifiers for Donald Alan Boutry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336134089	NPI	-	NPPES
7096845	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD00025494 (Washington)	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. Donald Alan Boutry allows following entities to bill medicare on his behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

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. Donald Alan Boutry 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
Donald Alan Boutry, MD 314 Martin Luther King Jr Way, Suite 104, Tacoma, WA 98405-4250 Ph: (253) 403-5432	Donald Alan Boutry, MD 314 Martin Luther King Jr Way, Suite 104, Tacoma, WA 98405-4250 Ph: (253) 403-5432

Reviews and Comments

Obstetrics & Gynecology Doctors in Tacoma, WA

Dr. Melodie M Icasiano, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Center, Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431 Phone: 253-968-1740
Dr. Angela Lorraine Gray, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 206-246-0468
James Lin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 521 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-4747
Amanda Carpenter Cousins, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431 Phone: 301-295-4000
Ladonna Rae Jones, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 314 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-9860
Dr. Karen M Nelson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 314 Martin Luther King Jr Way, Suite 400, Tacoma, WA 98405 Phone: 253-627-0666
Rachel Y Kim, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301

Donald Alan Boutry, MD - Medicare Obstetrics & Gynecology in Tacoma, WA