Dr Chantale Esther Bothuell, DPM is a medicare enrolled "Podiatrist" provider in Keego Harbor, Michigan. Her current practice location is
2424 Fordham St, Keego Harbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 384-7300.
Dr Chantale Esther Bothuell is licensed to practice in Michigan (license number 5901002140) 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 1457566341.
Healthcare Provider's Profile
| Full Name | Dr Chantale Esther Bothuell |
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| Gender | Female |
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| Speciality | Podiatrist |
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| Location | 2424 Fordham St, Keego Harbor, Michigan |
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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: 1457566341
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 03/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 1254400468
- Enrollment ID: I20080514000304
Medical Identifiers
Medical identifiers for Dr Chantale Esther Bothuell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457566341 | NPI | - | NPPES |
| 2265017 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 5901002140 (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. Dr Chantale Esther Bothuell allows following entities to bill medicare on her behalf.
| Provider Name | Medical Director Services Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20211203000565 |
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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. Dr Chantale Esther Bothuell 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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Dr Chantale Esther Bothuell, DPM
2424 Fordham St,
Keego Harbor, MI 48320-1412
Ph: (313) 384-7300 | Dr Chantale Esther Bothuell, DPM
2424 Fordham St,
Keego Harbor, MI 48320-1412
Ph: (313) 384-7300 |
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