Dr Keith A Boles, MD | |
500 South Johnson Drive, Mcgregor, TX 76657 | |
(254) 313-5200 | |
(254) 313-4531 |
Full Name | Dr Keith A Boles |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 500 South Johnson Drive, Mcgregor, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710946561 | NPI | - | NPPES |
8B5536 | Other | TX | BLUE SHIELD |
1119000-10 | Other | TX | CSHCN |
1119000-07 | Medicaid | TX | |
080176902 | Other | TX | RR/MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K2852 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Heart Of Texas Community Health Center, Inc. | 1153370242 | 98 |
Entity Name | Mclennan County Medical Education And Research Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689651440 PECOS PAC ID: 0042205155 Enrollment ID: O20040419000208 |
Entity Name | Heart Of Texas Community Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568191492 PECOS PAC ID: 1153370242 Enrollment ID: O20050114000813 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith A Boles, MD 1600 Providence Dr, Waco, TX 76707-2261 Ph: (254) 313-4200 | Dr Keith A Boles, MD 500 South Johnson Drive, Mcgregor, TX 76657 Ph: (254) 313-5200 |
Dr. Kelley M Reynolds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 South Johnson Drive, Mcgregor, TX 76657 Phone: 254-313-5200 Fax: 254-313-4531 | |
Dr. Jessica Kristin Cook, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 South Johnson Drive, Mcgregor, TX 76657 Phone: 254-313-5200 Fax: 254-313-4531 |