Dr Charles Mikell Bova, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in West Valley City, Utah. His current practice location is
3336 Pioneer Pkwy, Suite 204, West Valley City, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 964-3249.
Dr Charles Mikell Bova is licensed to practice in Utah (license number 185699) 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 1013071885.
Physician's Profile
| Full Name | Dr Charles Mikell Bova |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 3336 Pioneer Pkwy, West Valley City, Utah |
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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: 1013071885
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2567411226
- Enrollment ID: I20090619000075
Medical Identifiers
Medical identifiers for Dr Charles Mikell Bova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013071885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 185699 (Utah) | 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 Charles Mikell Bova allows following entities to bill medicare on his behalf.
| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508800129
PECOS PAC ID: 9436062585
Enrollment ID: O20031106000210 |
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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 Charles Mikell Bova 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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Dr Charles Mikell Bova, MD
3065 Oak Rim Ln,
Park City, UT 84060-6804
Ph: (435) 655-8648 | Dr Charles Mikell Bova, MD
3336 Pioneer Pkwy, Suite 204,
West Valley City, UT 84120-2000
Ph: (801) 964-3249 |
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