Douglas E Boler, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Gulf Breeze, Florida. His current practice location is
1337 Country Club Rd, Gulf Breeze, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 735-4907.
Douglas E Boler is licensed to practice in Florida (license number ME91494) 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 1558339374.
Physician's Profile
| Full Name | Douglas E Boler |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1337 Country Club Rd, Gulf Breeze, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558339374
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476591959
- Enrollment ID: I20080804000186
Medical Identifiers
Medical identifiers for Douglas E Boler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558339374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | ME91494 (Florida) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | ME91494 (Florida) | Secondary |
| 207L00000X | Anesthesiology | ME91494 (Florida) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | ME91494 (Florida) | 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. Douglas E Boler allows following entities to bill medicare on his behalf.
| Entity Name | Riverside Spine & Pain Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639208648
PECOS PAC ID: 9931092814
Enrollment ID: O20040204000868 |
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| Entity Name | Dynamic Pain & Wellness Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285007989
PECOS PAC ID: 8527364058
Enrollment ID: O20160310000011 |
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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. Douglas E Boler 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 |
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Douglas E Boler, MD
4730 N Habana Ave Ste 204,
Tampa, FL 33614-7148
Ph: (813) 549-2134 | Douglas E Boler, MD
1337 Country Club Rd,
Gulf Breeze, FL 32563-3451
Ph: (850) 735-4907 |
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