Hani Samuel Boutros, MD in Atascadero, CA

Hani Samuel Boutros, MD is a medicare enrolled "Family Medicine" physician in Atascadero, California. His current practice location is 10333 El Camino Real, Atascadero, California. You can reach out to his office (for appointments etc.) via phone at (805) 468-2000.

Hani Samuel Boutros is licensed to practice in California (license number A049126) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598717043.

Contact Information

	Hani Samuel Boutros, MD
	10333 El Camino Real, Atascadero, CA 93423-7001
	(805) 468-2000
	(805) 466-6011

Map and Direction

Physician's Profile

Full Name	Hani Samuel Boutros
Gender	Male
Speciality	Family Medicine
Location	10333 El Camino Real, Atascadero, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598717043
Provider Enumeration Date: 05/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800834425
Enrollment ID: I20050422000682

Medical Identifiers

Medical identifiers for Hani Samuel Boutros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598717043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A049126 (California)	Primary

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. Hani Samuel Boutros allows following entities to bill medicare on his behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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. Hani Samuel 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
Hani Samuel Boutros, MD 1600 9th St, Room 205 Mailstop 2-3, Sacramento, CA 95814-6414 Ph: (916) 654-2431	Hani Samuel Boutros, MD 10333 El Camino Real, Atascadero, CA 93423-7001 Ph: (805) 468-2000

Reviews and Comments

Family Medicine Doctors in Atascadero, CA

Dr. Homan Kian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10333 El Camino Real, Department Of State Hospitals - Atascadero, Atascadero, CA 93423 Phone: 916-651-9475 Fax: 916-651-8908
Dr. Karen Jean Roberts, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9700 El Camino Real, Suite 100, Atascadero, CA 93422 Phone: 805-461-9000 Fax: 805-461-9001
Dr. Victoria Lee Ota, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000
Dr. Donah Bulosan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000
Susan Pido, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000
Ronald Karl Staib, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011
Dr. Stephen Randall Ripple, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5905 Capistrano Ave Ste C, Atascadero, CA 93422 Phone: 805-461-7144 Fax: 805-461-7141

Hani Samuel Boutros, MD - Medicare Family Medicine in Atascadero, CA