Look up the most recent NPI and PECOS records

Abida B. Butler

Emergency Medicine

Allopathic & Osteopathic Physicians

Hsc, T16 020, Stony Brook, NY 11794-8160

PECOS Enrollment

This provider is enrolled in PECOS as ABIDA BUTLER.

Based on the most recent information from CMS, provider Abida B. Butler is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1982683173
Provider Type
Individual
Full Name
Butler, Abida B.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
1/16/2006
Last Updated
2/17/2017

Contact Information

Practice Location

Hsc, T16 020, Stony Brook, NY 11794-8160

(631) 444-8478

(631) 444-7546

Mailing Location

PO Box 1554, Stony Brook, NY 11790-0988

(631) 444-0650

(631) 638-4170

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 11514R Louisiana

Provider Identifiers

ID	Description	Issuer
ID 00124691	Description Medicaid	Issuer Unlisted Mississippi
ID P00803002	Description Other	Issuer RRMCARE THRU HCCN Mississippi
ID G6438	Description Other	Issuer BLUECROSS BLUESHIELD Louisiana
ID 1669962	Description Medicaid	Issuer Unlisted Louisiana

Abida B. Butler

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Buttar, Simran

Imperato, Michael T

Otterness, Karalynn

Miller, Nicholas Wyatt

Cooling, David

Schiff, Lawrence Russell

Alian, Andrus Salaam

Wyler, Benjamin Aaron

Hodson, Benjamin Richard

Massey, Lyndsay Ellen