Dr Chris Boseovski, MD is a medicare enrolled "General Practice" provider in Montgomery, Minnesota. His current practice location is
100 Oak Ave Sw, Montgomery, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(707) 494-2802.
Dr Chris Boseovski is licensed to practice in Minnesota (license number 73063) 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 1508940107.
Healthcare Provider's Profile
Full Name | Dr Chris Boseovski |
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Gender | Male |
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Speciality | General Practice |
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Location | 100 Oak Ave Sw, Montgomery, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508940107
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 01/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264827914
- Enrollment ID: I20230518000349
Medical Identifiers
Medical identifiers for Dr Chris Boseovski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508940107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 56189 (California) | Secondary |
122300000X | Dentist | D15051 (Minnesota) | Secondary |
208D00000X | General Practice | 0101276912 (Virginia) | Secondary |
208D00000X | General Practice | 73063 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Chris Boseovski allows following entities to bill medicare on his behalf.
Entity Name | Chris Boseovski Md Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821785403 PECOS PAC ID: 3375909310 Enrollment ID: O20230518000298 |
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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. Dr Chris Boseovski 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 Address | Practice Location Address |
Dr Chris Boseovski, MD 5212 Piedmont Dr, Santa Rosa, CA 95409-2846 Ph: (707) 494-2802 | Dr Chris Boseovski, MD 100 Oak Ave Sw, Montgomery, MN 56069-1243 Ph: (707) 494-2802 |
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