Maximina Boutselis, MD - Medicare Diagnostic Radiology in West Newbury, MA

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Maximina Boutselis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in West Newbury, Massachusetts. She went to University Of Connecticut School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Ali M Gharagozloo Md Pc, St Lawrence Radiology Assoc Pc, Radiology Group Of Abington Pc, Vpa Pc, St Lawrence Radiology Assoc Pc, Navajo Health Foundation-sage Memorial Hospital, Inc. and her current practice location is 20 Follinsbee Ln, West Newbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 761-4606.

Maximina Boutselis is licensed to practice in Illinois (license number 036139315) 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 1013946094.

Contact Information

Maximina Boutselis, MD
20 Follinsbee Ln,
West Newbury, MA 01985-4201
(978) 761-4606
Not Available

Map and Direction




Physician's Profile

Full NameMaximina Boutselis
GenderFemale
SpecialityDiagnostic Radiology
Experience29 Years
Location20 Follinsbee Ln, West Newbury, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maximina Boutselis attended and graduated from University Of Connecticut School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1013946094
  • Provider Enumeration Date: 07/01/2006
  • Last Update Date: 07/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7810183969
  • Enrollment ID: I20101201000413

Medical Identifiers

Medical identifiers for Maximina Boutselis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013946094NPI-NPPES
30200844MedicaidNH
0101290MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 156198 (Massachusetts)Secondary
208D00000XGeneral Practice 156198 (Massachusetts)Secondary
2085R0202XRadiology - Diagnostic Radiology 036139315 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Claxton-hepburn Medical CenterOgdensburg, NYHospital
Auburn Community HospitalAuburn, NYHospital
Canton-potsdam HospitalPotsdam, NYHospital
Oneida Healthcare CenterOneida, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ali M Gharagozloo Md Pc04462284729
St Lawrence Radiology Assoc Pc226442112227
Radiology Group Of Abington Pc599178089278
Vpa Pc9234041948145
St Lawrence Radiology Assoc Pc226442112227
Navajo Health Foundation-sage Memorial Hospital, Inc.216333234732

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. Maximina Boutselis allows following entities to bill medicare on her behalf.
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20190124000133
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336153295
PECOS PAC ID: 9234041948
Enrollment ID: O20210601002366
Entity NameWellington Imaging Associates, P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689665499
PECOS PAC ID: 3779484613
Enrollment ID: O20220104002974
Entity NameEmergence Teleradiology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053547927
PECOS PAC ID: 3476717612
Enrollment ID: O20220105000985
Entity NameRamapo Imaging Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932150935
PECOS PAC ID: 6901705060
Enrollment ID: O20220121000986
Entity NameSt Lawrence Radiology Assoc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154380863
PECOS PAC ID: 2264421122
Enrollment ID: O20220802000280
Entity NameRegional Radiology Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396714622
PECOS PAC ID: 8123063864
Enrollment ID: O20220815001810
Entity NameOlean Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700829850
PECOS PAC ID: 9133118862
Enrollment ID: O20220926000880
Entity NameCentre Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306841929
PECOS PAC ID: 2961455183
Enrollment ID: O20221006001602
Entity NameShps Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790421089
PECOS PAC ID: 7315325933
Enrollment ID: O20221010000582
Entity NameAli M Gharagozloo Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831182633
PECOS PAC ID: 0446228472
Enrollment ID: O20221021001687
Entity NameRadiology Group Of Abington Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477541035
PECOS PAC ID: 5991780892
Enrollment ID: O20221121002382
Entity NameNetwork Imaging Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588739247
PECOS PAC ID: 1355373895
Enrollment ID: O20230104000981
Entity NameSeaway Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124012018
PECOS PAC ID: 6305837584
Enrollment ID: O20230505002001
Entity NameAmboy Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104692672
PECOS PAC ID: 2860538170
Enrollment ID: O20240402001749

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. Maximina Boutselis 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 AddressPractice Location Address
Maximina Boutselis, MD
20 Follinsbee Lane,
West Newbury, MA 01985-4201

Ph: (888) 886-5238		Maximina Boutselis, MD
20 Follinsbee Ln,
West Newbury, MA 01985-4201

Ph: (978) 761-4606

Reviews and Comments


Radiology Doctors in West Newbury, MA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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