Dr. Susan B Boutilier is a Greenville, North Carolina based neurologist with 31 years of experience in Child Neurology. She completed her graduation from University Of California, Davis School Of Medicine in 1993. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Susan B Boutilier is 9701256 for Child Neurology in North Carolina. Her current practice location is 2280 Hemby Ln, Greenville. Patients can reach her at 252-744-9400 or can fax her at 252-744-9401. Dr. Susan B Boutilier is M.D. in Child Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1558368936. Dr. Susan B Boutilier specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Complete Profile:
Dr. Susan B Boutilier speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Susan B Boutilier
Specialization:
Child Neurology
Gender:
Female
Credentials:
M.D.
Experience:
31+ years
Medical School Attended:
University Of California, Davis School Of Medicine
Graduation Year:
1993
Accepts Medicare Assignment:
Yes
Practice Address:
2280 Hemby Ln, Greenville, North Carolina, 27834-3773
Phone:
252-744-9400
Fax:
252-744-9401
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3274637269
Enrollment ID:
I20081122000108
NPI Number:
1558368936
NPI Enumeration Date:
30 Jun, 2005
NPI Last Update On:
01 Feb, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Susan B Boutilier are as mentioned below.
License Number
Specialization
State
Status
9701256
Child Neurology
North Carolina
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Susan B Boutilier is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
East Carolina University (0244143246)
361
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Susan B Boutilier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1122N
Other
North Carolina
BCBSNC
370011207
Other
North Carolina
RAILROAD MEDICARE
1558368936
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Susan B Boutilier Po Box 751069, Charlotte, North Carolina
Zip:
28275-1069
Patients can reach Dr. Susan B Boutilier at 2280 Hemby Ln, Greenville, North Carolina or can call to book an appointment on 252-744-9400.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.