Dr Jake P Bostrom, MD - Medicare Ophthalmology in Boiling Springs, SC

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Dr Jake P Bostrom, MD is a medicare enrolled "Ophthalmology" physician in Boiling Springs, South Carolina. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Palmetto Eye And Laser Center Llc and his current practice location is 1520 Boiling Springs Rd, Boiling Springs, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 583-6381.

Dr Jake P Bostrom is licensed to practice in South Carolina (license number 31615) 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 1295886125.

Contact Information

Dr Jake P Bostrom, MD
1520 Boiling Springs Rd,
Boiling Springs, SC 29316
(864) 583-6381
(864) 583-6390

Map and Direction




Physician's Profile

Full NameDr Jake P Bostrom
GenderMale
SpecialityOphthalmology
Experience19 Years
Location1520 Boiling Springs Rd, Boiling Springs, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jake P Bostrom attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1295886125
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 07/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2668526559
  • Enrollment ID: I20090811000722

Medical Identifiers

Medical identifiers for Dr Jake P Bostrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295886125NPI-NPPES
AA3955-7292OtherSCMEDICARE PTAN
31615OtherSCSC LICENSE
1457384729OtherSCGROUP NPI
316152MedicaidSC
P01501403OtherSCRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 31615 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Palmetto Eye And Laser Center Llc18503178196

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 Jake P Bostrom allows following entities to bill medicare on his behalf.
Entity NamePalmetto Eye & Laser Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457384729
PECOS PAC ID: 1850317819
Enrollment ID: O20051019000211
Entity NameCarolina Specialty Eye Surgery Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1447870688
PECOS PAC ID: 3971929506
Enrollment ID: O20200813001765

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 Jake P Bostrom 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 Jake P Bostrom, MD
479 Heywood Ave,
Spartanburg, SC 29307-1726

Ph: (864) 583-6381		Dr Jake P Bostrom, MD
1520 Boiling Springs Rd,
Boiling Springs, SC 29316

Ph: (864) 583-6381

Reviews and Comments


Ophthalmology Doctors in Boiling Springs, SC

Todd D Gwin, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1520 Boiling Springs Rd, Boiling Springs, SC 29316
Phone: 864-583-6381    Fax: 864-583-5337
Dr. Brice B. Dille, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1520 Boiling Springs Rd, Boiling Springs, SC 29316
Phone: 864-583-6381    Fax: 864-583-6390
Dr. Billy J Haguewood Jr., M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1520 Boiling Springs Rd, Boiling Springs, SC 29316
Phone: 864-583-6381    Fax: 864-583-6390

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.