Frank A Boutiette, PT, DPT is a medicare enrolled "Physical Therapist" provider in Lake Hallie, Wisconsin. His current practice location is
2751 Commercial Blvd Ste 5, Lake Hallie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(800) 974-4378.
Frank A Boutiette is licensed to practice in Wisconsin (license number 3524-24) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932230208.
Healthcare Provider's Profile
| Full Name | Frank A Boutiette |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 2751 Commercial Blvd Ste 5, Lake Hallie, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932230208
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 10/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204368129
- Enrollment ID: I20241017000183
Medical Identifiers
Medical identifiers for Frank A Boutiette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932230208 | NPI | - | NPPES |
| 40183700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 3524-24 (Wisconsin) | 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. Frank A Boutiette allows following entities to bill medicare on his behalf.
| Provider Name | Dpt Holdings Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689648602
PECOS PAC ID: 4688679293
Enrollment ID: O20100708000581 |
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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. Frank A 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 |
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Frank A Boutiette, PT, DPT
24014 W Renwick Rd Unit 206,
Plainfield, IL 60544-8711
Ph: (800) 974-4378 | Frank A Boutiette, PT, DPT
2751 Commercial Blvd Ste 5,
Lake Hallie, WI 54729-5080
Ph: (800) 974-4378 |
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