Dr Gary Douglas Bozeman, MD is a medicare enrolled "Urology" physician in Fulton, New York. He went to University Of Arkansas College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mcleod Regional Medical Center Of The Pee Dee, Inc and his current practice location is
806 W Broadway, Fulton, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 297-4700.
Dr Gary Douglas Bozeman is licensed to practice in New York (license number 272579) 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 1659348514.
Physician's Profile
| Full Name | Dr Gary Douglas Bozeman |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 35 Years |
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| Location | 806 W Broadway, Fulton, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Gary Douglas Bozeman attended and graduated from University Of Arkansas College Of Medicine in 1989
NPI Data:
- NPI Number: 1659348514
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 02/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 6002085586
- Enrollment ID: I20110818000332
Medical Identifiers
Medical identifiers for Dr Gary Douglas Bozeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659348514 | NPI | - | NPPES |
| 153372 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 272579 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mcleod Regional Medical Center Of The Pee Dee, Inc | 7416851852 | 219 |
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 Gary Douglas Bozeman allows following entities to bill medicare on his behalf.
| Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154371433
PECOS PAC ID: 7416851852
Enrollment ID: O20031126000251 |
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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 Gary Douglas Bozeman 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 Gary Douglas Bozeman, MD
1226 E Water St,
Syracuse, NY 13210-1155
Ph: (315) 478-4185 | Dr Gary Douglas Bozeman, MD
806 W Broadway,
Fulton, NY 13069-1533
Ph: (315) 297-4700 |
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