Dr Walter A Boyle Iii, MD in Mendocino, CA

Dr Walter A Boyle Iii, MD is a medicare enrolled "Anesthesiology - Critical Care Medicine" physician in Mendocino, California. His current practice location is 44791 Baywood Dr, Mendocino, California. You can reach out to his office (for appointments etc.) via phone at (314) 324-3425.

Dr Walter A Boyle Iii is licensed to practice in California (license number G49981) 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 1093733727.

Contact Information

	Dr Walter A Boyle Iii, MD
	44791 Baywood Dr, Mendocino, CA 95460-9527
	(314) 324-3425
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Walter A Boyle Iii
Gender	Male
Speciality	Anesthesiology - Critical Care Medicine
Location	44791 Baywood Dr, Mendocino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093733727
Provider Enumeration Date: 07/18/2006
Last Update Date: 05/11/2022

Medicare PECOS Information:

PECOS PAC ID: 0345382651
Enrollment ID: I20100126000134

Medical Identifiers

Medical identifiers for Dr Walter A Boyle Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093733727	NPI	-	NPPES
202577300	Medicaid	MO
ENROLLED	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LC0200X	Anesthesiology - Critical Care Medicine	036.148697 (Illinois)	Secondary
207LC0200X	Anesthesiology - Critical Care Medicine	R6H50 (Missouri)	Secondary
207LC0200X	Anesthesiology - Critical Care Medicine	G49981 (California)	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 Walter A Boyle Iii allows following entities to bill medicare on his behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528005642 PECOS PAC ID: 9830008770 Enrollment ID: O20040129000651

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 Walter A Boyle Iii 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 Walter A Boyle Iii, MD 44791 Baywood Dr, Mendocino, CA 95460-9527 Ph: (314) 324-3425	Dr Walter A Boyle Iii, MD 44791 Baywood Dr, Mendocino, CA 95460-9527 Ph: (314) 324-3425

Dr Walter A Boyle Iii, MD - Medicare Anesthesiology in Mendocino, CA