Dr Kanta Butani, MD is a medicare enrolled "Pediatrics" physician in Tylertown, Mississippi. Her current practice location is
250 Hospital Dr, Tylertown, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 876-5161.
Dr Kanta Butani is licensed to practice in Mississippi (license number 07236) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154437168.
Physician's Profile
Full Name | Dr Kanta Butani |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 250 Hospital Dr, Tylertown, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154437168
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 10/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476732108
- Enrollment ID: I20110126000798
Medical Identifiers
Medical identifiers for Dr Kanta Butani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154437168 | NPI | - | NPPES |
00014814 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 07236 (Mississippi) | Primary |
208000000X | Pediatrics | 07236 (Mississippi) | Primary |
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 Kanta Butani 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 Kanta Butani, MD 50 Hospital Dr, Tylertown, MS 39667-2067 Ph: (601) 876-5161 | Dr Kanta Butani, MD 250 Hospital Dr, Tylertown, MS 39667-2020 Ph: (601) 876-5161 |
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