Dr Jonathan Peter Boltax, MD in Jackson, WY - Medicare Pulmonary Disease

Dr Jonathan Peter Boltax, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Jackson, Wyoming. He went to Temple University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Teton County Hospital District and his current practice location is 555 E Broadway Ave Ste 220, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 739-7305.

Dr Jonathan Peter Boltax is licensed to practice in Wyoming (license number 9935A) 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 1629023692.

Contact Information

	Dr Jonathan Peter Boltax, MD
	555 E Broadway Ave Ste 220, Jackson, WY 83001-8640
	(307) 739-7305
	(307) 739-4960

Map and Direction

Physician's Profile

Full Name	Dr Jonathan Peter Boltax
Gender	Male
Speciality	Pulmonary Disease
Experience	22 Years
Location	555 E Broadway Ave Ste 220, Jackson, Wyoming
Accepts Medicare Assignments	Yes. 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 Jonathan Peter Boltax attended and graduated from Temple University School Of Medicine in 2002

NPI Data:

NPI Number: 1629023692
Provider Enumeration Date: 05/24/2006
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 3577504695
Enrollment ID: I20150324002473

Medical Identifiers

Medical identifiers for Dr Jonathan Peter Boltax such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629023692	NPI	-	NPPES
121002500	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	9935A (Wyoming)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Johns Medical Center	Jackson, WY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Teton County Hospital District	4880582295	106

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 Jonathan Peter Boltax allows following entities to bill medicare on his behalf.

Entity Name	Teton County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954

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 Jonathan Peter Boltax 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 Jonathan Peter Boltax, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 739-7305	Dr Jonathan Peter Boltax, MD 555 E Broadway Ave Ste 220, Jackson, WY 83001-8640 Ph: (307) 739-7305

Reviews and Comments

Internal Medicine Doctors in Jackson, WY

Mrs. Blythe Elizabeth Cox, PA C Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Suite 229, Jackson, WY 83001 Phone: 307-732-1039 Fax: 307-732-1041
Michael Abram Tenofsky, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701
Dr. Cynthia L Archer, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1335 Arena Rd Unit 1, Jackson, WY 83001 Phone: 602-697-7790 Fax: 602-697-7790
Dr. Martha Gene Stearn, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 207, Jackson, WY 83001 Phone: 307-733-8002
Mark Matthew Neimat, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701
Anna Bramley Catino, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 229, Jackson, WY 83001 Phone: 307-739-7690 Fax: 307-739-4960
William Mullen, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 229, Jackson, WY 83001 Phone: 307-739-7690 Fax: 307-739-4960

Dr Jonathan Peter Boltax, MD - Medicare Pulmonary Disease in Jackson, WY