Eman Boulis, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Grinnell, Iowa. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice County Of Ward and her current practice location is
210 4th Ave, Grinnell, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 236-7511.
Eman Boulis is licensed to practice in Mississippi (license number 20150) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265617047.
Physician's Profile
| Full Name | Eman Boulis |
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| Gender | Female |
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| Speciality | Rheumatology |
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| Experience | 27 Years |
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| Location | 210 4th Ave, Grinnell, Iowa |
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| Accepts Medicare Assignments | Yes. She 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:
- Eman Boulis graduated from medical school in 1997
NPI Data:
- NPI Number: 1265617047
- Provider Enumeration Date: 12/31/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032299433
- Enrollment ID: I20210902000137
Medical Identifiers
Medical identifiers for Eman Boulis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265617047 | NPI | - | NPPES |
| MD-41825 | Other | IA | IA LICENSE |
| 1246481 | Other | IA | IA CSA |
| 102065830 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD433023 (Pennsylvania) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 20150 (Mississippi) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | MD-41825 (Iowa) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| County Of Ward | 1456261494 | 15 |
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. Eman Boulis allows following entities to bill medicare on her behalf.
| Entity Name | County Of Ward |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881782423
PECOS PAC ID: 1456261494
Enrollment ID: O20040414001322 |
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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. Eman 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 |
|---|
Eman Boulis, MD
210 4th Ave,
Grinnell, IA 50112-1898
Ph: (641) 236-7511 | Eman Boulis, MD
210 4th Ave,
Grinnell, IA 50112-1898
Ph: (641) 236-7511 |
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