Dr Douglas Lee Boertje, MD in Charlotte, NC - Medicare Emergency Medicine

Dr Douglas Lee Boertje, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Charlotte, North Carolina. His current practice location is 501 S Sharon Amity Rd Ste 300, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 377-2424.

Dr Douglas Lee Boertje is licensed to practice in North Carolina (license number 2006-01516) 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 1558361246.

Contact Information

	Dr Douglas Lee Boertje, MD
	501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035
	(704) 377-2424
	(704) 377-2687

Map and Direction

Physician's Profile

Full Name	Dr Douglas Lee Boertje
Gender	Male
Speciality	Emergency Medicine - Pediatric Emergency Medicine
Location	501 S Sharon Amity Rd Ste 300, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558361246
Provider Enumeration Date: 07/26/2005
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7416860085
Enrollment ID: I20070224000053

Medical Identifiers

Medical identifiers for Dr Douglas Lee Boertje such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558361246	NPI	-	NPPES
N01517	Other	SC	SC MEDICAID
59-05661	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	2006-01516 (North Carolina)	Primary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	36257 (Tennessee)	Secondary

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 Douglas Lee Boertje allows following entities to bill medicare on his behalf.

Entity Name	Mid-atlantic Emergency Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073562757 PECOS PAC ID: 4880686823 Enrollment ID: O20040331000927

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 Douglas Lee Boertje 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 Douglas Lee Boertje, MD 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 Ph: (704) 377-2424	Dr Douglas Lee Boertje, MD 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 Ph: (704) 377-2424

Reviews and Comments

Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658
Jacob Leedekerken, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171
Michael Stephen Merrill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 Phone: 704-377-2424 Fax: 704-377-2687
Brian Zachary Hedges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047

Dr Douglas Lee Boertje, MD - Medicare Emergency Medicine in Charlotte, NC