Dr Andrew Bostaph, MD - Medicare Diagnostic Radiology in Fayetteville, NC

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Dr Andrew Bostaph, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fayetteville, North Carolina. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2000 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Mountain Medical Physician Specialists Pc, Shannon Clinic and his current practice location is 3027 Hampton Ridge Rd, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (303) 933-8270.

Dr Andrew Bostaph is licensed to practice in North Carolina (license number 2007-01814) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023190097.

Contact Information

Dr Andrew Bostaph, MD
3027 Hampton Ridge Rd,
Fayetteville, NC 28311-3005
(303) 933-8270
(972) 437-3369

Map and Direction




Physician's Profile

Full NameDr Andrew Bostaph
GenderMale
SpecialityDiagnostic Radiology
Experience25 Years
Location3027 Hampton Ridge Rd, Fayetteville, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Andrew Bostaph attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2000
  NPI Data:
  • NPI Number: 1023190097
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 11/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052418985
  • Enrollment ID: I20090708000802

Medical Identifiers

Medical identifiers for Dr Andrew Bostaph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023190097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 2007-01814 (North Carolina)Primary
2085R0204XRadiology - Vascular & Interventional Radiology 01055825A (Indiana)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology A90220 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shannon Medical CenterSan angelo, TXHospital
Jordan Valley Medical CenterWest jordan, UTHospital
Moab Regional HospitalMoab, UTHospital
Dixie Regional Medical CenterSt george, UTHospital
Davis Hospital And Medical CenterLayton, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain Medical Physician Specialists Pc529463940732
Shannon Clinic0840103727411

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 Andrew Bostaph allows following entities to bill medicare on his behalf.
Entity NameCoastal Radiology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144270307
PECOS PAC ID: 8224002696
Enrollment ID: O20040823000112
Entity NameNational Diagnostic Imaging,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346362233
PECOS PAC ID: 4880655521
Enrollment ID: O20130923000194
Entity NameInnovative Radiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568400810
PECOS PAC ID: 2668432782
Enrollment ID: O20150812007782
Entity NameMountain Medical Physician Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720035520
PECOS PAC ID: 5294639407
Enrollment ID: O20200409002832

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 Andrew Bostaph 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 Andrew Bostaph, MD
2817 Rock Merritt Ave,
Fort Liberty, NC 28310-0001

Ph: (109) 907-8922		Dr Andrew Bostaph, MD
3027 Hampton Ridge Rd,
Fayetteville, NC 28311-3005

Ph: (303) 933-8270

Reviews and Comments


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Leroy Roberts Jr., M.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.