Mr Justin Boutwell, PA - Medicare Physician Assistant in Broken Bow, NE

Mr Justin Boutwell, PA is a medicare enrolled "Physician Assistant - Medical" in Broken Bow, Nebraska. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Central Nebraska Medical Clinic Pc and his current practice location is 145 Memorial Dr, Broken Bow, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 872-2486.

Mr Justin Boutwell is licensed to practice in Nebraska (license number 2387) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861959017.

Contact Information

Mr Justin Boutwell, PA
145 Memorial Dr,
Broken Bow, NE 68822-1378
(308) 872-2486
(308) 872-2027



Provider's Profile

Full NameMr Justin Boutwell
GenderMale
SpecialityPhysician Assistant
Experience5 Years
Location145 Memorial Dr, Broken Bow, Nebraska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Justin Boutwell graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1861959017
  • Provider Enumeration Date: 02/25/2019
  • Last Update Date: 08/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9234467309
  • Enrollment ID: I20190827004075

Medical Identifiers

Medical identifiers for Mr Justin Boutwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861959017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 2387 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jennie M Melham Memorial Medical CenterBroken bow, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Nebraska Medical Clinic Pc44866402659

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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. Mr Justin 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 AddressPractice Location Address
Mr Justin Boutwell, PA
145 Memorial Dr,
Broken Bow, NE 68822-1378

Ph: (308) 991-4571
Mr Justin Boutwell, PA
145 Memorial Dr,
Broken Bow, NE 68822-1378

Ph: (308) 872-2486

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Physician Assistant Nurses in Broken Bow, NE

Mrs. Angie Marie Hunt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 145 Memorial Dr., Broken Bow, NE 68822
Phone: 308-872-2486    Fax: 308-872-2027
Jacob D Karmazin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 145 Memorial Dr, Broken Bow, NE 68822
Phone: 308-872-2486    Fax: 308-872-2027

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