Gerard E. Boutin Phd Pa - Medicare Mental Health Clinic in Largo, FL

Gerard E. Boutin Phd Pa is a medicare enrolled mental health clinic (Psychologist - Clinical) in Largo, Florida. The current practice location for Gerard E. Boutin Phd Pa is 13787 Belcher Rd S, 140, Largo, Florida. For appointments, you can reach them via phone at (727) 452-5083. The mailing address for Gerard E. Boutin Phd Pa is 13787 Belcher Rd S, 140, Largo, Florida and phone number is (727) 452-5083.

Gerard E. Boutin Phd Pa is licensed to practice in Florida (license number PY0002716). The clinic also participates in the medicare program and its NPI number is 1124366364. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (727) 452-5083.

Contact Information

Gerard E. Boutin Phd Pa
13787 Belcher Rd S
140
Largo
FL 33771-4065
(727) 452-5083
Not Available

Mental Health Clinic Profile

Full NameGerard E. Boutin Phd Pa
SpecialityPsychologist
Location13787 Belcher Rd S, Largo, Florida
Authorized Official Name and PositionGerard E. Boutin (PRESIDENT)
Authorized Official Contact7274525083
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gerard E. Boutin Phd Pa
13787 Belcher Rd S
140
Largo
FL 33771-4065

Ph: (727) 452-5083
Gerard E. Boutin Phd Pa
13787 Belcher Rd S
140
Largo
FL 33771-4065

Ph: (727) 452-5083

NPI Details:

NPI Number1124366364
Provider Enumeration Date01/23/2013
Last Update Date01/23/2013

Medicare PECOS Information:

Medicare PECOS PAC ID6507001591
Medicare Enrollment IDO20130321000633

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Medical Identifiers

Medical identifiers for Gerard E. Boutin Phd Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124366364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103G00000XClinical Neuropsychologist PY0002716 (Florida)Secondary
103TC0700XPsychologist - Clinical PY0002716 (Florida)Primary
103TC2200XPsychologist - Clinical Child & Adolescent PY0002716 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gerard E. Boutin Phd Pa acts as a billing entity for following providers:
Provider NameGerard E Boutin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1083749386
PECOS PAC ID: 2466416169
Enrollment ID: I20041112000691

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