Jason K Boutros M D Inc - Medicare Primary Care in Pasadena, CA

Jason K Boutros M D Inc is a medicare enrolled primary clinic (Internal Medicine) in Pasadena, California. The current practice location for Jason K Boutros M D Inc is 2750 E Washington Blvd, Suite 260, Pasadena, California. For appointments, you can reach them via phone at (626) 798-8923. The mailing address for Jason K Boutros M D Inc is 2750 E Washington Blvd, Suite 260, Pasadena, California and phone number is (626) 798-8923.

Jason K Boutros M D Inc is licensed to practice in California (license number A42891). The clinic also participates in the medicare program and its NPI number is 1053532580. 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 (626) 798-8923.

Contact Information

Jason K Boutros M D Inc
2750 E Washington Blvd
Suite 260
Pasadena
CA 91107-1448
(626) 798-8923
(626) 798-0258

Primary Care Clinic Profile

Full NameJason K Boutros M D Inc
SpecialityInternal Medicine
Location2750 E Washington Blvd, Pasadena, California
Authorized Official Name and PositionCindy Chon (ADMINISTRATOR)
Authorized Official Contact6267988923
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jason K Boutros M D Inc
2750 E Washington Blvd
Suite 260
Pasadena
CA 91107-1448

Ph: (626) 798-8923
Jason K Boutros M D Inc
2750 E Washington Blvd
Suite 260
Pasadena
CA 91107-1448

Ph: (626) 798-8923

NPI Details:

NPI Number1053532580
Provider Enumeration Date05/01/2007
Last Update Date01/28/2011

Medicare PECOS Information:

Medicare PECOS PAC ID4284539594
Medicare Enrollment IDO20031201000293

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Medical Identifiers

Medical identifiers for Jason K Boutros M D Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053532580NPI-NPPES
GR0076360MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A42891 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jason K Boutros M D Inc acts as a billing entity for following providers:
Provider NameJason K Boutros
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942243563
PECOS PAC ID: 5496656241
Enrollment ID: I20040120000580

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