Mark David Boutros, PT, DPT in Salem, OR - Medicare Physical Therapist Provider

Mark David Boutros, PT, DPT is a medicare enrolled "Physical Therapist" provider in Salem, Oregon. His current practice location is 3270 Liberty Rd S, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 371-0779.

Mark David Boutros is licensed to practice in Oregon (license number 64192) 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 1508226416.

Contact Information

	Mark David Boutros, PT, DPT
	3270 Liberty Rd S, Salem, OR 97302
	(503) 371-0779
	(503) 371-0886

Map and Direction

Healthcare Provider's Profile

Full Name	Mark David Boutros
Gender	Male
Speciality	Physical Therapist
Location	3270 Liberty Rd S, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508226416
Provider Enumeration Date: 03/04/2016
Last Update Date: 03/04/2016

Medicare PECOS Information:

PECOS PAC ID: 0345547741
Enrollment ID: I20160330001774

Medical Identifiers

Medical identifiers for Mark David Boutros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508226416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	64192 (Oregon)	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. Mark David Boutros allows following entities to bill medicare on his behalf.

Provider Name	Comprehensive Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508057654 PECOS PAC ID: 9537153457 Enrollment ID: O20040413001438

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. Mark David Boutros 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
Mark David Boutros, PT, DPT 3270 Liberty Rd S, Salem, OR 97302 Ph: (503) 371-0779	Mark David Boutros, PT, DPT 3270 Liberty Rd S, Salem, OR 97302 Ph: (503) 371-0779

Reviews and Comments

Physical Therapist in Salem, OR

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Helen Margareta Akerberg Evans, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Liberty St Ne, Suite 170, Salem, OR 97301 Phone: 503-588-6633 Fax: 503-540-3427
Sara J Atkinson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 853 Medical Center Dr Ne, Salem, OR 97301 Phone: 503-364-5313 Fax: 503-364-5296
Lori Diane Vanlith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6633 Christy Ct Se, Salem, OR 97317 Phone: 503-999-3838
Dr. Derek Lee Palmer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2521 Boone Rd Se # 100, Salem, OR 97306 Phone: 503-585-5131 Fax: 503-585-4065

Mark David Boutros, PT, DPT - Medicare Physical Therapist in Salem, OR