Dr Julie A Boutt, MD | |
4071 24th Ave, Fort Gratiot, MI 48059-3801 | |
(810) 824-4222 | |
(810) 824-4220 |
Full Name | Dr Julie A Boutt |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 27 Years |
Location | 4071 24th Ave, Fort Gratiot, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285749549 | NPI | - | NPPES |
1285749549 | Medicaid | MI | |
383662851 | Other | MI | PPOM |
4643528 | Medicaid | MI | |
0807410461 | Other | MI | BLUE CROSS/BLUE SHIELD |
9153443002 | Other | MI | CIGNA HEALTHCARE HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | JB070145 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mclaren Home Health | Sterling heights, MI | Home health agency |
Mclaren Port Huron | Port huron, MI | Hospital |
Lake Huron Medical Center | Port huron, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Horizon Family Medicine Pllc | 9830524941 | 2 |
Entity Name | Lighthouse Family Medicine, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114222031 PECOS PAC ID: 4082890769 Enrollment ID: O20110513000153 |
Entity Name | Horizon Family Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427693761 PECOS PAC ID: 9830524941 Enrollment ID: O20200120000198 |
Mailing Address | Practice Location Address |
---|---|
Dr Julie A Boutt, MD 4071 24th Ave, Fort Gratiot, MI 48059-3801 Ph: (810) 824-4222 | Dr Julie A Boutt, MD 4071 24th Ave, Fort Gratiot, MI 48059-3801 Ph: (810) 824-4222 |
Farrukh Zaman Naqvi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Daniel C Souphis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Christopher J Borgiel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7788 Fax: 810-989-7799 | |
Gail F Mcintyre, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3061 Commerce Dr, Suite 5, Fort Gratiot, MI 48059 Phone: 810-385-6663 Fax: 810-385-6322 | |
Jude L Stratford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3903 Stoney Ridge Dr, Fort Gratiot, MI 48059 Phone: 810-385-2295 | |
Lavi Rohatgi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4190 24th Ave, Fort Gratiot, MI 48059 Phone: 810-989-7777 Fax: 810-989-7782 |