Gabriel Y El-hage Boutrous, PHD in Canton, OH - Medicare Psychologist Provider

Gabriel Y El-hage Boutrous, PHD is a medicare enrolled "Psychologist" provider in Canton, Ohio. His current practice location is 4565 Dressler Rd Nw, Suite Ll 21, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 491-9700.

Gabriel Y El-hage Boutrous is licensed to practice in Ohio (license number 3718) 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 1285690040.

Contact Information

	Gabriel Y El-hage Boutrous, PHD
	4565 Dressler Rd Nw, Suite Ll 21, Canton, OH 44718-2549
	(330) 491-9700
	(330) 491-9730

Map and Direction

Healthcare Provider's Profile

Full Name	Gabriel Y El-hage Boutrous
Gender	Male
Speciality	Psychologist
Location	4565 Dressler Rd Nw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285690040
Provider Enumeration Date: 04/21/2006
Last Update Date: 11/02/2007

Medicare PECOS Information:

PECOS PAC ID: 5890731301
Enrollment ID: I20050706001049

Medical Identifiers

Medical identifiers for Gabriel Y El-hage Boutrous such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285690040	NPI	-	NPPES
0685290	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3718 (Ohio)	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. Gabriel Y El-hage Boutrous allows following entities to bill medicare on his behalf.

Entity Name	Cleveland Clinic Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366433195 PECOS PAC ID: 0547156796 Enrollment ID: O20040224001287

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. Gabriel Y El-hage Boutrous 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
Gabriel Y El-hage Boutrous, PHD 4565 Dressler Rd Nw, Suite Ll 21, Canton, OH 44718-2549 Ph: (330) 491-9700	Gabriel Y El-hage Boutrous, PHD 4565 Dressler Rd Nw, Suite Ll 21, Canton, OH 44718-2549 Ph: (330) 491-9700

Reviews and Comments

Psychologist in Canton, OH

Lisa Marie Bender, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 38th St Nw, Canton, OH 44709 Phone: 330-492-8136
Dr. Tracie R Baker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 733 Market Ave S, Canton, OH 44702 Phone: 330-489-4600
Christian O Alston, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1925 Miami Ct Ne, Canton, OH 44714 Phone: 234-203-9042
Mr. William E Mohler, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4792 Munson St Nw, Munson Professional Centre, Canton, OH 44718 Phone: 330-494-4636 Fax: 330-494-5861
Mr. Roger Barrett, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4572 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-4220 Fax: 330-493-8850
Thomas Pickton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4572 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-4220 Fax: 330-493-8850
Maria Gaglio, M.ED. ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 38th St Nw, Canton, OH 44709 Phone: 330-492-8136 Fax: 330-493-9135

Gabriel Y El-hage Boutrous, PHD - Medicare Psychologist in Canton, OH