Boru Nale, MD is a medicare enrolled "Family Medicine" physician in San Manuel, Arizona. His current practice location is
23 S Mcnab Pkwy, San Manuel, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 385-2234.
Boru Nale is licensed to practice in Arizona (license number 37364) 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 1497949226.
Physician's Profile
Full Name | Boru Nale |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 23 S Mcnab Pkwy, San Manuel, Arizona |
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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: 1497949226
- Provider Enumeration Date: 09/05/2007
- Last Update Date: 01/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 3678521804
- Enrollment ID: I20071120000344
Medical Identifiers
Medical identifiers for Boru Nale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497949226 | NPI | - | NPPES |
FQ031828 | Other | | MEDICARE |
FQ61788 | Other | AZ | MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 37364 (Arizona) | 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. Boru Nale allows following entities to bill medicare on his behalf.
Entity Name | Ajo Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114037496 PECOS PAC ID: 3476441866 Enrollment ID: O20040308000777 |
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Entity Name | Nextcare Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
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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. Boru Nale 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 |
Boru Nale, MD Po Box 10097, Casa Grande, AZ 85230-0097 Ph: (520) 836-3446 | Boru Nale, MD 23 S Mcnab Pkwy, San Manuel, AZ 85631 Ph: (520) 385-2234 |
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