Dr Lon A Boutiette, MD in Fort Walton Beach, FL

Dr Lon A Boutiette, MD is a medicare enrolled "Emergency Medicine" physician in Fort Walton Beach, Florida. He went to University Of Massachusetts Medical School and graduated in 1982 and has 42 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola and his current practice location is 1000 Mar Walt Dr, Fort Walton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 863-7607.

Dr Lon A Boutiette is licensed to practice in Florida (license number ME51154) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174574479.

Contact Information

	Dr Lon A Boutiette, MD
	1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
	(850) 863-7607
	(205) 437-5998

Map and Direction

Physician's Profile

Full Name	Dr Lon A Boutiette
Gender	Male
Speciality	Emergency Medicine
Experience	42 Years
Location	1000 Mar Walt Dr, Fort Walton Beach, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Lon A Boutiette attended and graduated from University Of Massachusetts Medical School in 1982

NPI Data:

NPI Number: 1174574479
Provider Enumeration Date: 05/12/2006
Last Update Date: 05/13/2009

Medicare PECOS Information:

PECOS PAC ID: 8820088586
Enrollment ID: I20040514000434

Medical Identifiers

Medical identifiers for Dr Lon A Boutiette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174574479	NPI	-	NPPES
063236800	Medicaid	FL
059184932	Other	AL	BCBS PROVIDER NUMBER
04698	Other	FL	BCBS PROVIDER NUMBER
059184934	Other	AL	BCBS PROVIDER NUMBER
059184933	Other	AL	BCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	ME51154 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Sacred Heart Gulf	Port saint joe, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola	6608854765	4

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 Lon A Boutiette allows following entities to bill medicare on his behalf.

Entity Name	Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215948096 PECOS PAC ID: 6608854765 Enrollment ID: O20040713001524

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198

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 Lon A Boutiette 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 Lon A Boutiette, MD Po Box 88452, Chicago, IL 60680-1452 Ph: (205) 437-6098	Dr Lon A Boutiette, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 863-7607

Reviews and Comments

Emergency Medicine Doctors in Fort Walton Beach, FL

Mrs. Andrea M Person, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111
Dr. Michael C Williams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998
Dr. Paula S Wadbrook, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998
Dr. William Mendoza, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998
Dr. Jason H Adams, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998
Dr. Grady L Burleson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607

Dr Lon A Boutiette, MD - Medicare Emergency Medicine in Fort Walton Beach, FL