Dr Andrew Kamal Boulos, MD in Prosper, TX

Dr Andrew Kamal Boulos, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Prosper, Texas. His current practice location is 4100 W University Dr, Prosper, Texas. You can reach out to his office (for appointments etc.) via phone at (945) 204-4100.

Dr Andrew Kamal Boulos is licensed to practice in Texas (license number S4733) 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 1922419407.

Contact Information

	Dr Andrew Kamal Boulos, MD
	4100 W University Dr, Prosper, TX 75078-3123
	(945) 204-4100
	(682) 885-1903

Map and Direction

Physician's Profile

Full Name	Dr Andrew Kamal Boulos
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	4100 W University Dr, Prosper, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922419407
Provider Enumeration Date: 05/18/2014
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 2163649013
Enrollment ID: I20171003006382

Medical Identifiers

Medical identifiers for Dr Andrew Kamal Boulos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922419407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	S4733 (Texas)	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 Andrew Kamal Boulos allows following entities to bill medicare on his behalf.

Entity Name	Sacred Heart Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144271586 PECOS PAC ID: 3779491386 Enrollment ID: O20031125000699

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 Kamal Boulos 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 Andrew Kamal Boulos, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483	Dr Andrew Kamal Boulos, MD 4100 W University Dr, Prosper, TX 75078-3123 Ph: (945) 204-4100

Reviews and Comments

Pediatrics Doctors in Prosper, TX

Natalie Nimer Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903
Alochana Ragula, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903
Zachary Stone, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 940 S Legacy Dr Ste 20, Prosper, TX 75078 Phone: 214-389-8801
Ghada Abdalla Elhaj, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 321 N Preston Rd Ste C, Prosper, TX 75078 Phone: 469-488-4900 Fax: 469-488-4901
John Marion Robertson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242
Laquatre R. Rhodes, DO, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200
Abdul Hafeez Siddiqui, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242

Dr Andrew Kamal Boulos, MD - Medicare Pediatrics in Prosper, TX