Jimmy Roger Boutin, MD | |
2333 Biddle St, Wyandotte, MI 48192-4668 | |
(734) 246-7913 | |
(734) 246-6968 |
Full Name | Jimmy Roger Boutin |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 2333 Biddle St, Wyandotte, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417976937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301055999 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Wyandotte Hospital | Wyandotte, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metropolitan Anesthesia Consultants, Pllc | 8921077249 | 29 |
Entity Name | Metropolitan Anesthesia Consultants, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386679868 PECOS PAC ID: 8921077249 Enrollment ID: O20041001000930 |
Mailing Address | Practice Location Address |
---|---|
Jimmy Roger Boutin, MD 2333 Biddle St, Wyandotte, MI 48192-4668 Ph: (734) 246-7913 | Jimmy Roger Boutin, MD 2333 Biddle St, Wyandotte, MI 48192-4668 Ph: (734) 246-7913 |
Dr. Sonya Marie Elgammal, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Francis G Nazareno, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968 | |
Charles Raymond, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968 | |
Jill E Wiesenberger, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968 | |
Timothy Lozon Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
James F Urbanick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968 |