Samar Marie Boulos, DO in Lansing, MI

Samar Marie Boulos, DO is a medicare enrolled "Pediatrics" physician in Lansing, Michigan. Her current practice location is 1717 N High St, Lansing, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 371-1700.

Samar Marie Boulos is licensed to practice in Michigan (license number 5101024418) 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 1689067829.

Contact Information

	Samar Marie Boulos, DO
	1717 N High St, Lansing, MI 48906-4597
	(517) 371-1700
	(517) 371-4245

Map and Direction

Physician's Profile

Full Name	Samar Marie Boulos
Gender	Female
Speciality	Pediatrics
Location	1717 N High St, Lansing, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689067829
Provider Enumeration Date: 03/12/2015
Last Update Date: 04/22/2022

Medicare PECOS Information:

PECOS PAC ID: 6406250083
Enrollment ID: I20210804000370

Medical Identifiers

Medical identifiers for Samar Marie Boulos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689067829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	5101024418 (Michigan)	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. Samar Marie Boulos allows following entities to bill medicare on her behalf.

Entity Name	Cristo Rey Community Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407800931 PECOS PAC ID: 2365345576 Enrollment ID: O20040830000021

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. Samar Marie Boulos 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
Samar Marie Boulos, DO 1717 N High St, Lansing, MI 48906-4597 Ph: (517) 371-1700	Samar Marie Boulos, DO 1717 N High St, Lansing, MI 48906-4597 Ph: (517) 371-1700

Reviews and Comments

Pediatrics Doctors in Lansing, MI

Jeanjiko D Cuison, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5135 S Pennsylvania Ave, Lansing, MI 48911 Phone: 517-887-5922 Fax: 517-887-5982
Dr. David Cervi, D.O., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave Ste 145, Lansing, MI 48912 Phone: 517-364-5440 Fax: 517-364-5409
Ahda Fatehi Mohammad Jbarah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-997-2000
Anastasiia Sabii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-677-3520
Harrietta Christodoulos, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave Ste 145, Lansing, MI 48912 Phone: 517-364-5440 Fax: 517-364-5409
Dr. Renuka Gera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave, Ste 145, Lansing, MI 48912 Phone: 517-364-5449 Fax: 517-364-5409
Farrokh Rahnemoon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 644 Migaldi Ln, Suite 300, Lansing, MI 48917 Phone: 517-627-6024 Fax: 517-627-9339

Samar Marie Boulos, DO - Medicare Pediatrics in Lansing, MI