Dr Kenneth L Boss, MD - Medicare Family Practice in Villa Rica, GA

Dr Kenneth L Boss, MD is a medicare enrolled "Family Medicine" physician in Villa Rica, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wellstreet Of Georgia Pc and his current practice location is 705 Dallas Hwy, Suite 101, Villa Rica, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 456-4411.

Dr Kenneth L Boss is licensed to practice in Georgia (license number 052425) 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 1104891472.

Contact Information

Dr Kenneth L Boss, MD
705 Dallas Hwy, Suite 101,
Villa Rica, GA 30180-1247
(770) 456-4411
(770) 812-3582

Map and Direction




Physician's Profile

Full NameDr Kenneth L Boss
GenderMale
SpecialityFamily Practice
Experience25 Years
Location705 Dallas Hwy, Villa Rica, Georgia
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 Kenneth L Boss attended and graduated from Medical College Of Georgia School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1104891472
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 10/20/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8729012711
  • Enrollment ID: I20050920000311

Medical Identifiers

Medical identifiers for Dr Kenneth L Boss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104891472NPI-NPPES
277491774AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 052425 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstreet Of Georgia Pc7517126279384

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 Kenneth L Boss allows following entities to bill medicare on his behalf.
Entity NameTanner Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396979787
PECOS PAC ID: 2769536143
Enrollment ID: O20090819000657
Entity NameWellstreet Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603

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 Kenneth L Boss 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 Kenneth L Boss, MD
119 Ambulance Dr, Suite 202,
Carrollton, GA 30117-3857

Ph: (770) 838-8710
Dr Kenneth L Boss, MD
705 Dallas Hwy, Suite 101,
Villa Rica, GA 30180-1247

Ph: (770) 456-4411

Reviews and Comments


Family Medicine Doctors in Villa Rica, GA

James Larry Boss, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 517 Leslie Dr, Villa Rica, GA 30180
Phone: 770-459-5179    
Dr. Virginia H Price, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dallas Hwy Ste 101, Villa Rica, GA 30180
Phone: 770-459-4411    Fax: 770-459-1896
Dr. Henry Charles Guthery Iii, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 809 W Bankhead Hwy Ste D, Villa Rica, GA 30180
Phone: 678-615-9519    
Mrs. Chandrika Garg, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Quartz Dr, Suite 101, Villa Rica, GA 30180
Phone: 770-949-7500    Fax: 770-942-8800
Dr. India C. Williams, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 Permian Way, Suite A, Villa Rica, GA 30180
Phone: 678-840-4034    Fax: 678-840-4035
Dr. Merna Michelle Vera, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 403 Permian Way, Suite A, Villa Rica, GA 30180
Phone: 770-771-5235    Fax: 770-771-5236

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.