Jeffrey N Boulter, MD in Lima, OH - Medicare Emergency Medicine

Jeffrey N Boulter, MD is a medicare enrolled "Emergency Medicine" physician in Lima, Ohio. His current practice location is 730 W Market St, Lima, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 227-3361.

Jeffrey N Boulter is licensed to practice in Ohio (license number 35050653B) 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 1609829035.

Contact Information

	Jeffrey N Boulter, MD
	730 W Market St, Lima, OH 45801-4602
	(419) 227-3361
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeffrey N Boulter
Gender	Male
Speciality	Emergency Medicine
Location	730 W Market St, Lima, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609829035
Provider Enumeration Date: 05/18/2006
Last Update Date: 06/10/2013

Medicare PECOS Information:

PECOS PAC ID: 8123920337
Enrollment ID: I20040127000083

Medical Identifiers

Medical identifiers for Jeffrey N Boulter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609829035	NPI	-	NPPES
000000317855	Other		BCBS
000000317855	Other	OH	BCBS
0561413	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	35050653B (Ohio)	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. Jeffrey N Boulter allows following entities to bill medicare on his behalf.

Entity Name	Mercy Emergency Care Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477957819 PECOS PAC ID: 9436475795 Enrollment ID: O20150303001904

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. Jeffrey N Boulter 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
Jeffrey N Boulter, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: () -	Jeffrey N Boulter, MD 730 W Market St, Lima, OH 45801-4602 Ph: (419) 227-3361

Reviews and Comments

Emergency Medicine Doctors in Lima, OH

Stephanie Nicole Casey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-996-5723
Susan L Payson, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-228-3335 Fax: 904-805-1302
Geoffrey C Mitchell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 614-261-8256
Varuna Amare Perera, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-228-3335
Samuel Cory, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361
Kerry Andrew Forrestal, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361
Anthony Brym, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-998-4509 Fax: 304-523-2241

Jeffrey N Boulter, MD - Medicare Emergency Medicine in Lima, OH