Dr Stephen Earl Boodin, MD is a
Neurological Surgery physician based in Clawson, Michigan. Dr Stephen Earl Boodin is licensed to practice in Michigan (license number 032164) and his current practice location is 909 W Maple Rd, Suite 104, Clawson, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 288-3200.
NPI number for Dr Stephen Earl Boodin is 1093799702 and his current mailing address is 909 W Maple Rd, Suite 104, Clawson, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093799702.
Physician's Profile
| Full Name | Dr Stephen Earl Boodin |
|---|
| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 909 W Maple Rd, Clawson, Michigan |
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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: 1093799702
- Provider Enumeration Date: 12/06/2005
- Last Update Date: 03/31/2016
Medical Identifiers
Medical identifiers for Dr Stephen Earl Boodin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093799702 | NPI | - | NPPES |
| 2950744 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | 032164 (Michigan) | Primary |
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 Stephen Earl Boodin 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 Stephen Earl Boodin, MD
909 W Maple Rd, Suite 104,
Clawson, MI 48017-1000
Ph: (248) 288-3200 | Dr Stephen Earl Boodin, MD
909 W Maple Rd, Suite 104,
Clawson, MI 48017-1000
Ph: (248) 288-3200 |
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