Dr Bouali Frederick Amoli, DMD MD - Medicare Dentist in Jacksonville, FL

Dr Bouali Frederick Amoli, DMD MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Jacksonville, Florida. His current practice location is 5149 Normandy Blvd Unit 4, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 781-1201.

Dr Bouali Frederick Amoli is licensed to practice in Florida (license number DN 21029) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306073754.

Contact Information

Dr Bouali Frederick Amoli, DMD MD
5149 Normandy Blvd Unit 4,
Jacksonville, FL 32205-4861
(904) 781-1201
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Bouali Frederick Amoli
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location5149 Normandy Blvd Unit 4, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306073754
  • Provider Enumeration Date: 06/12/2009
  • Last Update Date: 02/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2769702604
  • Enrollment ID: I20150518000850

Medical Identifiers

Medical identifiers for Dr Bouali Frederick Amoli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306073754NPI-NPPES
012224600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery DRP781 (Florida)Secondary
204E00000XOral & Maxillofacial Surgery ME119684 (Florida)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery DN 21029 (Florida)Primary

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. Dr Bouali Frederick Amoli 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
Dr Bouali Frederick Amoli, DMD MD
5149 Normandy Blvd Unit 4,
Jacksonville, FL 32205-4861

Ph: (904) 781-1201
Dr Bouali Frederick Amoli, DMD MD
5149 Normandy Blvd Unit 4,
Jacksonville, FL 32205-4861

Ph: (904) 781-1201

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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