Kristin Boulier, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Stanford, Ca, California. Her current practice location is
300 Pasteur Dr, Lane 154, Stanford, Ca, California. You can reach out to her office (for appointments etc.) via phone at
(650) 723-6661.
Kristin Boulier is licensed to practice in California (license number A159238) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457884959.
Physician's Profile
Full Name | Kristin Boulier |
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Gender | Female |
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Speciality | Internal Medicine - Cardiovascular Disease |
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Location | 300 Pasteur Dr, Stanford, Ca, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457884959
- Provider Enumeration Date: 04/11/2017
- Last Update Date: 11/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810438595
- Enrollment ID: I20240920003191
Medical Identifiers
Medical identifiers for Kristin Boulier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457884959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | A159238 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Kristin Boulier allows following entities to bill medicare on her behalf.
Entity Name | Advanced Cardiovascular Specialists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164472270 PECOS PAC ID: 8921034810 Enrollment ID: O20050712000852 |
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Entity Name | Silicon Valley Medical Development Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164880761 PECOS PAC ID: 6103115183 Enrollment ID: O20160513001617 |
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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. Kristin Boulier 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 |
Kristin Boulier, MD 300 Pasteur Dr, Lane 154, Stanford, Ca, CA 94305-5133 Ph: (650) 723-6661 | Kristin Boulier, MD 300 Pasteur Dr, Lane 154, Stanford, Ca, CA 94305-5133 Ph: (650) 723-6661 |
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