Dr Jacqueline D Boutrouille, MD, PA in Tamarac, FL

Dr Jacqueline D Boutrouille, MD, PA is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Tamarac, Florida. She graduated from medical school in 1979 and has 46 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Refresh Canopy Cove, Inc and her current practice location is 7880 N University Dr, Suite 303, Tamarac, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 340-3000.

Dr Jacqueline D Boutrouille is licensed to practice in Florida (license number ME 87029) 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 1447295886.

Contact Information

	Dr Jacqueline D Boutrouille, MD, PA
	7880 N University Dr, Suite 303, Tamarac, FL 33321-2124
	(954) 340-3000
	(954) 636-8407

Map and Direction

Physician's Profile

Full Name	Dr Jacqueline D Boutrouille
Gender	Female
Speciality	Psychiatry
Experience	46 Years
Location	7880 N University Dr, Tamarac, Florida
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:

Dr Jacqueline D Boutrouille graduated from medical school in 1979

NPI Data:

NPI Number: 1447295886
Provider Enumeration Date: 06/19/2006
Last Update Date: 01/11/2013

Medicare PECOS Information:

PECOS PAC ID: 2466479910
Enrollment ID: I20051025000241

Medical Identifiers

Medical identifiers for Dr Jacqueline D Boutrouille such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447295886	NPI	-	NPPES
268083100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	ME 87029 (Florida)	Primary
2084P0802X	Psychiatry & Neurology - Addiction Psychiatry	ME 87029 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Refresh Canopy Cove, Inc	3779822119	97

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. Dr Jacqueline D Boutrouille allows following entities to bill medicare on her behalf.

Entity Name	Refresh Canopy Cove, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354

Entity Name	Optum Behavioral Care Of North Carolina, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033984448 PECOS PAC ID: 5092120030 Enrollment ID: O20240401000110

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 Jacqueline D Boutrouille 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 Jacqueline D Boutrouille, MD, PA 7880 N University Dr, Suite 303, Tamarac, FL 33321-2124 Ph: (954) 340-3000	Dr Jacqueline D Boutrouille, MD, PA 7880 N University Dr, Suite 303, Tamarac, FL 33321-2124 Ph: (954) 340-3000

Reviews and Comments

Psychiatry & Neurology Doctors in Tamarac, FL

Mr. Juan Carlos Sanchez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7707 N University Dr Ste 101, Tamarac, FL 33321 Phone: 954-840-4068 Fax: 954-840-2236
Bhadreshkumar Hasmukhlal Parikh, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7707 N University Dr, Ste 207, Tamarac, FL 33321 Phone: 954-721-8118 Fax: 954-721-8128
Dr. Sachin Singh, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8020 Nw 96th Ter Apt 206, Tamarac, FL 33321 Phone: 206-898-6537
Dr. Rachel Slutsky, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7201 N University Dr, Tamarac, FL 33321 Phone: 347-741-0184
Dr. Rishi Kakar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7481 W Oakland Park Blvd, Ste 100, Tamarac, FL 33319 Phone: 954-771-7743 Fax: 954-771-7488
Dr. Holly Nicewicz, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7201 N University Dr, Pbcgme/university Hopsital And Medical Center, Tamarac, FL 33321 Phone: 954-724-6540
Lenzetta Rolle-lake, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7201 N University Dr, Tamarac, FL 33321 Phone: 954-724-6540

Dr Jacqueline D Boutrouille, MD, PA - Medicare Psychiatry in Tamarac, FL