Dr Irina Eugenievna Boldt, MD - Medicare Family Practice in Jacksonville, FL

Dr Irina Eugenievna Boldt, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice University Of Florida Jacksonville Physicians, Inc. and her current practice location is 12620 Beach Blvd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 633-0585.

Dr Irina Eugenievna Boldt is licensed to practice in Florida (license number ME135983) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225471873.

Contact Information

Dr Irina Eugenievna Boldt, MD
12620 Beach Blvd,
Jacksonville, FL 32246-7131
(904) 633-0585
(904) 633-0586

Map and Direction




Physician's Profile

Full NameDr Irina Eugenievna Boldt
GenderFemale
SpecialityFamily Practice
Experience27 Years
Location12620 Beach Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Irina Eugenievna Boldt graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1225471873
  • Provider Enumeration Date: 04/14/2013
  • Last Update Date: 06/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4688974959
  • Enrollment ID: I20180703002934

Medical Identifiers

Medical identifiers for Dr Irina Eugenievna Boldt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225471873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME135983 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shands JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Florida Jacksonville Physicians, Inc.9133025869665

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 Irina Eugenievna Boldt allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326208695
PECOS PAC ID: 9133025869
Enrollment ID: O20040204000616
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487814752
PECOS PAC ID: 9133025869
Enrollment ID: O20050414000212

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 Irina Eugenievna Boldt 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 Irina Eugenievna Boldt, MD
653 W 8th St # Fc-12,
Jacksonville, FL 32209-6511

Ph: (904) 244-3903
Dr Irina Eugenievna Boldt, MD
12620 Beach Blvd,
Jacksonville, FL 32246-7131

Ph: (904) 633-0585

Reviews and Comments


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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.