Dr Mark G Boles, MD is a
Pediatrics physician based in Belle Vernon, Pennsylvania. Dr Mark G Boles is licensed to practice in Pennsylvania (license number MD041044L) and his current practice location is 1112 Fells Church Rd, Belle Vernon, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(724) 379-6160.
NPI number for Dr Mark G Boles is 1164548020 and his current mailing address is 112 Fells Church Rd, Belle Vernon, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164548020.
Physician's Profile
| Full Name | Dr Mark G Boles |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1112 Fells Church Rd, Belle Vernon, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164548020
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mark G Boles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164548020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD041044L (Pennsylvania) | Primary |
| 208000000X | Pediatrics | DM 13761-2 (Puerto Rico) | Secondary |
| 208000000X | Pediatrics | 209588-1 (New York) | Secondary |
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 Mark G Boles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark G Boles, MD
112 Fells Church Rd,
Belle Vernon, PA 15012
Ph: (724) 379-6160 | Dr Mark G Boles, MD
1112 Fells Church Rd,
Belle Vernon, PA 15012
Ph: (724) 379-6160 |
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