Dr Marwan Boulis, MD is a medicare enrolled "Otolaryngology" physician in Waterford, Michigan. His current practice location is
5220 Highland Rd Ste 230, Waterford, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 254-8900.
Dr Marwan Boulis is licensed to practice in Michigan (license number 4301509067) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861981763.
Physician's Profile
Full Name | Dr Marwan Boulis |
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Gender | Male |
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Speciality | Otolaryngology |
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Location | 5220 Highland Rd Ste 230, Waterford, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861981763
- Provider Enumeration Date: 05/07/2018
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880945328
- Enrollment ID: I20230520000306
Medical Identifiers
Medical identifiers for Dr Marwan Boulis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861981763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 4301509067 (Michigan) | Primary |
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 Marwan Boulis allows following entities to bill medicare on his behalf.
Entity Name | Ent Care Of Michigan Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114632932 PECOS PAC ID: 2466827753 Enrollment ID: O20230419002237 |
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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 Marwan Boulis 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 Marwan Boulis, MD 5220 Highland Rd Ste 230, Waterford, MI 48327-1973 Ph: (248) 254-8900 | Dr Marwan Boulis, MD 5220 Highland Rd Ste 230, Waterford, MI 48327-1973 Ph: (248) 254-8900 |
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