Dr John Frazier Boutwell, DDS in Greenville, SC - Medicare Dentist Provider

Dr John Frazier Boutwell, DDS is a medicare enrolled "Dentist" provider in Greenville, South Carolina. His current practice location is 3369 Pelham Rd, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 297-6365.

Dr John Frazier Boutwell is licensed to practice in South Carolina (license number 9855) 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 1770108102.

Contact Information

	Dr John Frazier Boutwell, DDS
	3369 Pelham Rd, Greenville, SC 29615-4105
	(864) 297-6365
	Not Available

Healthcare Provider's Profile

Full Name	Dr John Frazier Boutwell
Gender	Male
Speciality	Dentist
Location	3369 Pelham Rd, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770108102
Provider Enumeration Date: 06/11/2020
Last Update Date: 01/20/2022

Medicare PECOS Information:

PECOS PAC ID: 2365864261
Enrollment ID: I20200623001662

Medical Identifiers

Medical identifiers for Dr John Frazier Boutwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770108102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7099 (Louisiana)	Secondary
122300000X	Dentist	9855 (South Carolina)	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. Dr John Frazier Boutwell 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
Dr John Frazier Boutwell, DDS 3369 Pelham Rd, Greenville, SC 29615-4105 Ph: (864) 297-6365	Dr John Frazier Boutwell, DDS 3369 Pelham Rd, Greenville, SC 29615-4105 Ph: (864) 297-6365

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Dentist in Greenville, SC

John Layton Glymph Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6a Cleveland Ct, Greenville, SC 29607 Phone: 864-271-3713 Fax: 864-271-3719
Dr. Harry George Bobotis, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 870 Cleveland St, Suite 2-b, Greenville, SC 29601 Phone: 864-233-4874 Fax: 864-233-4868
Dr. Jack Haynes Hancock, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 Enterprise Blvd, Suite 209, Greenville, SC 29615 Phone: 864-234-8811 Fax: 864-234-8844
Clarence Thomas Hamrick Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: One Charis Drive, Greenville, SC 29615 Phone: 864-271-4330 Fax: 864-271-0196
Dr. Leor Joseph Lindner, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 40 Pointe Cir, Greenville, SC 29615 Phone: 864-233-4166
Dr. Jason Abram Minton, DMD Dentist Medicare: Medicare Enrolled Practice Location: 110 Villa Rd, Greenville, SC 29615 Phone: 864-282-1925
Terry A Willis, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 127 Hunts Bridge Rd, Greenville, SC 29617 Phone: 864-246-6471 Fax: 864-246-9917

Dr John Frazier Boutwell, DDS - Medicare Dentist in Greenville, SC