Dr Michael Douglas Boehm, MD is a medicare enrolled "Ophthalmology" physician in Silvis, Illinois. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye Surgeons Associates Pc, Eye Surgeons Associates Pc and his current practice location is
2001 5th St, Suite 49 Eye Surgeons Associates Pc, Silvis, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 792-2020.
Dr Michael Douglas Boehm is licensed to practice in Illinois (license number 036-109140) 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 1912984360.
Physician's Profile
| Full Name | Dr Michael Douglas Boehm |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 26 Years |
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| Location | 2001 5th St, Silvis, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Douglas Boehm attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1998
NPI Data:
- NPI Number: 1912984360
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 08/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 2264476985
- Enrollment ID: I20050614000759
Medical Identifiers
Medical identifiers for Dr Michael Douglas Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912984360 | NPI | - | NPPES |
| 0290627 | Medicaid | IA | |
| 26568 | Other | IA | IA GROUP MEDICARE # |
| 790930 | Other | IL | IL GROUP MEDICARE # |
| 0060350 | Other | IA | IA GROUP MEDICAID # |
| 036109146 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 35141 (Iowa) | Secondary |
| 207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 036-109140 (Illinois) | Secondary |
| 207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 35141 (Iowa) | Secondary |
| 207W00000X | Ophthalmology | 036-109140 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eye Surgeons Associates Pc | 4183521206 | 18 |
| Eye Surgeons Associates Pc | 4183521206 | 18 |
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 Michael Douglas Boehm allows following entities to bill medicare on his behalf.
| Entity Name | Eye Surgeons Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386607562
PECOS PAC ID: 4183521206
Enrollment ID: O20050525000435 |
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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 Michael Douglas Boehm 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 Michael Douglas Boehm, MD
777 Tanglefoot Ln, Eye Surgeons Associates Pc,
Bettendorf, IA 52722-1650
Ph: (563) 323-2020 | Dr Michael Douglas Boehm, MD
2001 5th St, Suite 49 Eye Surgeons Associates Pc,
Silvis, IL 61282
Ph: (309) 792-2020 |
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