Gerry Boccarossa, DO is a medicare enrolled "Internal Medicine" physician in Blountville, Tennessee. His current practice location is
412 Mountain View Ct, Blountville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 220-0650.
Gerry Boccarossa is licensed to practice in Tennessee (license number DO 1162) 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 1912901760.
Physician's Profile
| Full Name | Gerry Boccarossa |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 412 Mountain View Ct, Blountville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912901760
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 09/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 6800795741
- Enrollment ID: I20200602000832
Medical Identifiers
Medical identifiers for Gerry Boccarossa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912901760 | NPI | - | NPPES |
| 3304613 | Medicaid | TN | |
| 005830494 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | DO 1162 (Tennessee) | Primary |
| 207R00000X | Internal Medicine | 0102201244 (Virginia) | Secondary |
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. Gerry Boccarossa 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 |
|---|
Gerry Boccarossa, DO
412 Mountain View Ct,
Blountville, TN 37617-6252
Ph: (423) 220-0650 | Gerry Boccarossa, DO
412 Mountain View Ct,
Blountville, TN 37617-6252
Ph: (423) 220-0650 |
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