Kathryn Boutiette, MOTR/L is a medicare enrolled "Occupational Therapist" provider in Perham, Minnesota. Her current practice location is
231 Fox St, Perham, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 346-2322.
Kathryn Boutiette is licensed to practice in Minnesota (license number 106303) 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 1649886870.
Healthcare Provider's Profile
Full Name | Kathryn Boutiette |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 231 Fox St, Perham, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649886870
- Provider Enumeration Date: 09/22/2020
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395194070
- Enrollment ID: I20240528002071
Medical Identifiers
Medical identifiers for Kathryn Boutiette such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649886870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 106303 (Minnesota) | Primary |
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. Kathryn Boutiette 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 |
Kathryn Boutiette, MOTR/L 38809 S Marion Dr, Richville, MN 56576-9606 Ph: (218) 457-2878 | Kathryn Boutiette, MOTR/L 231 Fox St, Perham, MN 56573-2337 Ph: (218) 346-2322 |
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