Frederick Thornton Boulware, MD - Medicare Neurology in Phoenix, AZ

Frederick Thornton Boulware, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Phoenix, Arizona. He went to Meharry Medical College School Of Medicine and graduated in 1965 and has 59 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Amdx, Ltd. and his current practice location is 2423 W Dunlap Ave, Ste 130, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 424-4450.

Frederick Thornton Boulware is licensed to practice in Arizona (license number 37701) 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 1497733174.

Contact Information

Frederick Thornton Boulware, MD
2423 W Dunlap Ave, Ste 130,
Phoenix, AZ 85021-5818
(602) 424-4450
(602) 424-4451

Map and Direction




Physician's Profile

Full NameFrederick Thornton Boulware
GenderMale
SpecialityNeurology
Experience59 Years
Location2423 W Dunlap Ave, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Frederick Thornton Boulware attended and graduated from Meharry Medical College School Of Medicine in 1965
  NPI Data:
  • NPI Number: 1497733174
  • Provider Enumeration Date: 01/04/2006
  • Last Update Date: 09/18/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5496847162
  • Enrollment ID: I20100910000553

Medical Identifiers

Medical identifiers for Frederick Thornton Boulware such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497733174NPI-NPPES
002002038MedicaidNV
100500484MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 37701 (Arizona)Primary
2084N0600XPsychiatry & Neurology - Clinical Neurophysiology 37701 (Arizona)Secondary
2084N0008XPsychiatry & Neurology - Neuromuscular Medicine 37701 (Arizona)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amdx, Ltd.63058418269

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. Frederick Thornton Boulware allows following entities to bill medicare on his behalf.
Entity NameAmdx, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275647851
PECOS PAC ID: 6305841826
Enrollment ID: O20060915000343

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. Frederick Thornton 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 AddressPractice Location Address
Frederick Thornton Boulware, MD
2423 W Dunlap Ave, Ste 130,
Phoenix, AZ 85021-5818

Ph: (602) 424-4450
Frederick Thornton Boulware, MD
2423 W Dunlap Ave, Ste 130,
Phoenix, AZ 85021-5818

Ph: (602) 424-4450

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.