Dr Nidal Boutros, in Lebanon, MO - Medicare Internal Medicine

Dr Nidal Boutros, is a medicare enrolled "Internal Medicine" physician in Lebanon, Missouri. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Statland Medical Group Llc, Statland Medical Group Llc, Ability Kc and his current practice location is 120 Hospital Dr, Suite 300, Lebanon, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 533-6746.

Dr Nidal Boutros is licensed to practice in Missouri (license number 2009027847) 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 1629036173.

Contact Information

	Dr Nidal Boutros,
	120 Hospital Dr, Suite 300, Lebanon, MO 65536-9238
	(417) 533-6746
	(417) 533-6740

Map and Direction

Physician's Profile

Full Name	Dr Nidal Boutros
Gender	Male
Speciality	Internal Medicine
Experience	34 Years
Location	120 Hospital Dr, Lebanon, Missouri
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 Nidal Boutros graduated from medical school in 1990

NPI Data:

NPI Number: 1629036173
Provider Enumeration Date: 05/03/2006
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 0941303945
Enrollment ID: I20100624000731

Medical Identifiers

Medical identifiers for Dr Nidal Boutros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629036173	NPI	-	NPPES
1629036173	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2009027847 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Menorah Medical Center	Overland park, KS	Hospital
Overland Park Reg Med Ctr	Overland park, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Statland Medical Group Llc	0042335044	8
Statland Medical Group Llc	0042335044	8
Ability Kc	0143116368	83

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 Nidal Boutros allows following entities to bill medicare on his behalf.

Entity Name	Statland Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902123573 PECOS PAC ID: 0042335044 Enrollment ID: O20200210000277

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 Nidal Boutros 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 Nidal Boutros, Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 829-4620	Dr Nidal Boutros, 120 Hospital Dr, Suite 300, Lebanon, MO 65536-9238 Ph: (417) 533-6746

Reviews and Comments

Internal Medicine Doctors in Lebanon, MO

Sofia Iqbal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr Ste 300, Lebanon, MO 65536 Phone: 417-533-6746
Ali Ahsen Syed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100
Dr. Jeffrey Fears, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 W Elm St, Lebanon, MO 65536 Phone: 417-532-2805 Fax: 417-532-2848
Hassan Ali, M.D., Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr Ste 300, Lebanon, MO 65536 Phone: 417-533-6746
Shreyans Bengani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-841-5108
Dr. Ossama Al-assafeen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 300, Lebanon, MO 65536 Phone: 417-533-6746 Fax: 417-533-6740

Dr Nidal Boutros, - Medicare Internal Medicine in Lebanon, MO