Dr Susan B Boutilier, MD in Greenville, NC

Dr Susan B Boutilier, MD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Greenville, North Carolina. She went to University Of California, Davis School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Vidant Medical Group Llc and her current practice location is 2280 Hemby Ln, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 744-9400.

Dr Susan B Boutilier is licensed to practice in North Carolina (license number 9701256) 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 1558368936.

Contact Information

	Dr Susan B Boutilier, MD
	2280 Hemby Ln, Greenville, NC 27834-3773
	(252) 744-9400
	(252) 744-9401

Map and Direction

Physician's Profile

Full Name	Dr Susan B Boutilier
Gender	Female
Speciality	Neurology
Experience	31 Years
Location	2280 Hemby Ln, Greenville, North Carolina
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 Susan B Boutilier attended and graduated from University Of California, Davis School Of Medicine in 1993

NPI Data:

NPI Number: 1558368936
Provider Enumeration Date: 06/30/2005
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3274637269
Enrollment ID: I20081122000108

Medical Identifiers

Medical identifiers for Dr Susan B Boutilier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558368936	NPI	-	NPPES
1122N	Other	NC	BCBSNC
370011207	Other	NC	RAILROAD MEDICARE
1558368936	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	9701256 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vidant Medical Center	Greenville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vidant Medical Group Llc	0345343893	850

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 Susan B Boutilier allows following entities to bill medicare on her behalf.

Entity Name	East Carolina University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

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 Susan B Boutilier 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 Susan B Boutilier, MD Po Box 751069, Charlotte, NC 28275-1069 Ph: () -	Dr Susan B Boutilier, MD 2280 Hemby Ln, Greenville, NC 27834-3773 Ph: (252) 744-9400

Reviews and Comments

Psychiatry & Neurology Doctors in Greenville, NC

Dr. Khalid Abdelsalam Elnagar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Outpatient Center, Greenville, NC 27834 Phone: 252-744-1406 Fax: 252-744-4243
Elham Rahmani, MD, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 905 Johns Hopkins Dr, Greenville, NC 27834 Phone: 252-744-1406 Fax: 252-744-2419
Dr. Duard Frank Fleming Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-744-9400 Fax: 252-744-9401
Bertha Bowen Hambidge, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2602 Courtier Dr, Greenville, NC 27834 Phone: 252-752-0483
Mateusz Broszko, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2577 W 5th St, Greenville, NC 27834 Phone: 252-830-3426
Judith Salle Yongue, MD PA Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 107 Commerce St, Suite D, Greenville, NC 27858 Phone: 252-355-2768 Fax: 252-355-0403
Dr. Diana J Antonacci, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Medicine- Outpatient Clinic, Greenville, NC 27834 Phone: 252-744-1406 Fax: 252-744-2419

Dr Susan B Boutilier, MD - Medicare Neurology in Greenville, NC