Meryl Lee Boutte, CAA is a medicare enrolled "Anesthesiologist Assistant" physician in Waco, Texas. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Scott And White Clinic and her current practice location is
100 Hillcrest Medical Blvd, Waco, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 202-2000.
Meryl Lee Boutte is licensed to practice in Texas (license number 29649094) 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 1376100875.
Physician's Profile
| Full Name | Meryl Lee Boutte |
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| Gender | Female |
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| Speciality | Anesthesiology Assistant |
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| Experience | 5 Years |
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| Location | 100 Hillcrest Medical Blvd, Waco, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Meryl Lee Boutte graduated from medical school in 2019
NPI Data:
- NPI Number: 1376100875
- Provider Enumeration Date: 05/21/2019
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002140738
- Enrollment ID: I20190628001344
Medical Identifiers
Medical identifiers for Meryl Lee Boutte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376100875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 29649094 (Texas) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 29649094 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Scott And White Clinic | 8123923604 | 2143 |
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. Meryl Lee Boutte allows following entities to bill medicare on her behalf.
| Entity Name | Scott & White Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093779704
PECOS PAC ID: 8123923604
Enrollment ID: O20031223000640 |
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| Entity Name | Hillcrest Physician Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649294323
PECOS PAC ID: 1153304456
Enrollment ID: O20040609000104 |
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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. Meryl Lee Boutte 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 |
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Meryl Lee Boutte, CAA
Po Box 844658,
Dallas, TX 75284-4658
Ph: () - | Meryl Lee Boutte, CAA
100 Hillcrest Medical Blvd,
Waco, TX 76712-8897
Ph: (254) 202-2000 |
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