Paul Christopher Boulware, MD in Phoenix, AZ

Paul Christopher Boulware, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Phoenix, Arizona. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice 2nd Chance Treatment Centers Llc and his current practice location is 16620 N 40th St Ste E-1, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 464-9576.

Paul Christopher Boulware is licensed to practice in Arizona (license number 41726) 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 1609912146.

Contact Information

	Paul Christopher Boulware, MD
	16620 N 40th St Ste E-1, Phoenix, AZ 85032-3348
	(602) 464-9576
	(602) 626-8901

Map and Direction

Physician's Profile

Full Name	Paul Christopher Boulware
Gender	Male
Speciality	Psychiatry
Experience	22 Years
Location	16620 N 40th St Ste E-1, Phoenix, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul Christopher Boulware attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2002

NPI Data:

NPI Number: 1609912146
Provider Enumeration Date: 01/30/2007
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9335291558
Enrollment ID: I20090720000410

Medical Identifiers

Medical identifiers for Paul Christopher Boulware such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609912146	NPI	-	NPPES
435556	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	41726 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
2nd Chance Treatment Centers Llc	6406178243	12

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. Paul Christopher Boulware allows following entities to bill medicare on his behalf.

Entity Name	2nd Chance Treatment Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780098228 PECOS PAC ID: 6406178243 Enrollment ID: O20141204001738

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. Paul Christopher Boulware 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
Paul Christopher Boulware, MD 16620 N 40th St Ste E1, Phoenix, AZ 85032-3357 Ph: (602) 464-9576	Paul Christopher Boulware, MD 16620 N 40th St Ste E-1, Phoenix, AZ 85032-3348 Ph: (602) 464-9576

Reviews and Comments

Psychiatry & Neurology Doctors in Phoenix, AZ

Dr. George David Goldberg, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2145 E Kaler Dr, Phoenix, AZ 85020 Phone: 602-943-2400
Andrea Oliver Skelton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste H4, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 602-626-8901
Mr. Joseph Andrew Vitagliano, PA-C Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1110 E Missouri Ave Ste 110, Phoenix, AZ 85014 Phone: 480-542-8202
Robin Laurie Mcfarlane, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-839-2266
Kevin Yang, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011
Dr. Michael A Stein, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 240 W Thomas Rd # 404, Phoenix, AZ 85013 Phone: 602-406-6262
Dr. Lee Ann Kelley, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4602 N 16th St Ste 100, Phoenix, AZ 85016 Phone: 602-795-1834 Fax: 602-795-2608

Paul Christopher Boulware, MD - Medicare Psychiatry in Phoenix, AZ