Mireille N Boutry, MD in Cleveland, OH

Mireille N Boutry, MD is a medicare enrolled "Pediatrics" physician in Cleveland, Ohio. Her current practice location is 11100 Euclid Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 844-7700.

Mireille N Boutry is licensed to practice in Ohio (license number 35-060531) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932127750.

Contact Information

	Mireille N Boutry, MD
	11100 Euclid Ave, Cleveland, OH 44106-1716
	(216) 844-7700
	(216) 286-6341

Map and Direction

Physician's Profile

Full Name	Mireille N Boutry
Gender	Female
Speciality	Pediatrics
Location	11100 Euclid Ave, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932127750
Provider Enumeration Date: 07/18/2006
Last Update Date: 06/30/2011

Medicare PECOS Information:

PECOS PAC ID: 9638168263
Enrollment ID: I20040510000598

Medical Identifiers

Medical identifiers for Mireille N Boutry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932127750	NPI	-	NPPES
000000220998	Other	OH	UNISON
000000525909	Other	OH	ANTHEM
0635168	Other	OH	AETNA
0822695	Medicaid	OH
363375	Other	OH	WELLCARE
738036	Other	OH	BUCKEYE
000000027989	Other	OH	ANTHEM
0822695	Other	OH	BCMH
370001902	Other	OH	RAILROAD MEDICARE
1011820810001	Other	PA	PA MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35-060531 (Ohio)	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. Mireille N Boutry allows following entities to bill medicare on her behalf.

Entity Name	University Hospitals Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301

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. Mireille N Boutry 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
Mireille N Boutry, MD 24701 Euclid Ave, 3rd Floor, Euclid, OH 44117-1714 Ph: () -	Mireille N Boutry, MD 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-7700

Reviews and Comments

Pediatrics Doctors in Cleveland, OH

Keshava Murthy Narayana Gowda, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # M-14, Cleveland, OH 44195 Phone: 216-212-3601
Dr. Aditi Yadav, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-445-5686 Fax: 216-636-0009
Dominic Cercone, Pediatrics Medicare: Medicare Enrolled Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1000
Dr. Reshma Raj, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-5394
Mary Nock, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Avenue, Cleveland, OH 44106 Phone: 216-844-7700
Michelle M Marks, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Anne Stormorken, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Avenue, Cleveland, OH 44106 Phone: 216-844-7700

Mireille N Boutry, MD - Medicare Pediatrics in Cleveland, OH