Ms Dominique M Butawan-ali, MD in Memphis, TN - Medicare Obstetrics/gynecology

Ms Dominique M Butawan-ali, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Memphis, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Women's Care Center Of Memphis, Mpllc and her current practice location is 6215 Humphreys Blvd., Ste 100, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 747-1200.

Ms Dominique M Butawan-ali is licensed to practice in Tennessee (license number 54889) 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 1417121013.

Contact Information

	Ms Dominique M Butawan-ali, MD
	6215 Humphreys Blvd., Ste 100, Memphis, TN 38120
	(901) 747-1200
	(901) 747-1220

Map and Direction

Physician's Profile

Full Name	Ms Dominique M Butawan-ali
Gender	Female
Speciality	Obstetrics/gynecology
Experience	12 Years
Location	6215 Humphreys Blvd., Ste 100, Memphis, Tennessee
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:

Ms Dominique M Butawan-ali attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2012

NPI Data:

NPI Number: 1417121013
Provider Enumeration Date: 04/15/2008
Last Update Date: 01/19/2017

Medicare PECOS Information:

PECOS PAC ID: 7517123441
Enrollment ID: I20170110000306

Medical Identifiers

Medical identifiers for Ms Dominique M Butawan-ali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417121013	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	201200884 (North Carolina)	Secondary
207V00000X	Obstetrics & Gynecology	E-8519 (Arkansas)	Secondary
207V00000X	Obstetrics & Gynecology	54889 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital	Memphis, TN	Hospital
Methodist Healthcare - Olive Branch Hospital	Olive branch, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Women's Care Center Of Memphis, Mpllc	7012803505	21

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. Ms Dominique M Butawan-ali allows following entities to bill medicare on her behalf.

Entity Name	Baptist Memorial Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385

Entity Name	Women's Care Center Of Memphis, Mpllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720151418 PECOS PAC ID: 7012803505 Enrollment ID: O20040223000808

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. Ms Dominique M Butawan-ali 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
Ms Dominique M Butawan-ali, MD 6215 Humphreys Blvd Ste 100, Wcc Mpllc Dba Mid South Ob-gyn Pplc, Memphis, TN 38120 Ph: (901) 747-1200	Ms Dominique M Butawan-ali, MD 6215 Humphreys Blvd., Ste 100, Memphis, TN 38120 Ph: (901) 747-1200

Reviews and Comments

Obstetrics & Gynecology Doctors in Memphis, TN

Kristin M. Miller, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6750 Poplar Ave, Suite 210, Memphis, TN 38138 Phone: 901-756-6522 Fax: 901-435-0928
Dr. Jason Glenn Williams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6745 Wolf River Blvd., Memphis, TN 38120 Phone: 901-767-8442 Fax: 901-684-6260
Dr. Owen P. Phillips, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6215 Humphreys Blvd Ste 201, Memphis, TN 38120 Phone: 901-866-8085 Fax: 901-515-3429
Claudia Leonard Moise, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6215 Humphreys Blvd, Suite 401, Memphis, TN 38120 Phone: 901-767-8448 Fax: 901-684-6260
Dr. Kingsley Ogonna Oraedu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6025 Walnut Grove Rd, Ste 316, Memphis, TN 38120 Phone: 901-274-9717 Fax: 901-684-2008
Mitchell Scott Mcalister, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 Poplar Ave, Suite 501, Memphis, TN 38112 Phone: 901-271-0896 Fax: 901-271-0897
Dr. Dwight Melvyn Moore, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1264 Wesley Dr, Ste 402, Memphis, TN 38116 Phone: 901-396-5577 Fax: 901-396-5585

Ms Dominique M Butawan-ali, MD - Medicare Obstetrics/gynecology in Memphis, TN