Chandel Marie Bouthot, FNP in Newtown, CT - Medicare Nurse Practitioner

Chandel Marie Bouthot, FNP is a medicare enrolled "Nurse Practitioner - Family" in Newtown, Connecticut. Her current practice location is 164 Mount Pleasant Rd Ste 202, Newtown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 270-1016.

Chandel Marie Bouthot is licensed to practice in Connecticut (license number 12091) 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 1821774068.

Contact Information

	Chandel Marie Bouthot, FNP
	164 Mount Pleasant Rd Ste 202, Newtown, CT 06470-1477
	(203) 270-1016
	Not Available

Map and Direction

Provider's Profile

Full Name	Chandel Marie Bouthot
Gender	Female
Speciality	Nurse Practitioner - Family
Location	164 Mount Pleasant Rd Ste 202, Newtown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821774068
Provider Enumeration Date: 06/23/2023
Last Update Date: 01/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4880040849
Enrollment ID: I20231026002982

Medical Identifiers

Medical identifiers for Chandel Marie Bouthot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821774068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12091 (Connecticut)	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. Chandel Marie Bouthot allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Chandel Marie Bouthot 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
Chandel Marie Bouthot, FNP 5231 Avalon Dr W, Orange, CT 06477-3677 Ph: () -	Chandel Marie Bouthot, FNP 164 Mount Pleasant Rd Ste 202, Newtown, CT 06470-1477 Ph: (203) 270-1016

Reviews and Comments

Nurse Practitioner Nurses in Newtown, CT

Ms. Mary Alice Poupon, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Split Rock Rd, Newtown, CT 06470 Phone: 203-364-7000
Cheryl A Rosenthal, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 S Main St, Newtown, CT 06470 Phone: 203-270-7592
Natalie Elisabeth Martin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Fieldstone Dr, Newtown, CT 06470 Phone: 203-648-1418
Mrs. Tiffany Rydz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32 Church Hill Rd, Newtown, CT 06470 Phone: 203-304-9725
Miluska Valeria Ciurlizza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Mount Pleasant Rd, Newtown, CT 06470 Phone: 203-426-1818
Dr. Jeannie Virginia Pasacreta, APRN, PHD Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Abbey Ln, Newtown, CT 06470 Phone: 203-270-0080 Fax: 203-304-1191
Christine Bihday, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 54 S Main St, Newtown, CT 06470 Phone: 203-270-7592

Chandel Marie Bouthot, FNP - Medicare Nurse Practitioner in Newtown, CT