Logan Wiggins Boldwill, MD in Athens, TX - Medicare Internal Medicine

Logan Wiggins Boldwill, MD is a medicare enrolled "Internal Medicine" physician in Athens, Texas. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Etmc Physician Group, Inc. and his current practice location is 2000 S Palestine St, Athens, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 676-1000.

Logan Wiggins Boldwill is licensed to practice in Texas (license number R9574) 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 1912352675.

Contact Information

	Logan Wiggins Boldwill, MD
	2000 S Palestine St, Athens, TX 75751-5610
	(903) 676-1000
	(903) 676-1337

Map and Direction

Physician's Profile

Full Name	Logan Wiggins Boldwill
Gender	Male
Speciality	Internal Medicine
Experience	8 Years
Location	2000 S Palestine St, Athens, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Logan Wiggins Boldwill attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2016

NPI Data:

NPI Number: 1912352675
Provider Enumeration Date: 05/02/2016
Last Update Date: 08/02/2019

Medicare PECOS Information:

PECOS PAC ID: 3577852201
Enrollment ID: I20190208000711

Medical Identifiers

Medical identifiers for Logan Wiggins Boldwill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912352675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R9574 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Health East Texas Athens Hospital	Athens, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Etmc Physician Group, Inc.	4486915600	278

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. Logan Wiggins Boldwill allows following entities to bill medicare on his behalf.

Entity Name	Concord Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531

Entity Name	Concord Medical Group Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Logan Wiggins Boldwill 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
Logan Wiggins Boldwill, MD 510b Karey Dr, Temple, TX 76502-8727 Ph: (903) 539-6544	Logan Wiggins Boldwill, MD 2000 S Palestine St, Athens, TX 75751-5610 Ph: (903) 676-1000

Reviews and Comments

Internal Medicine Doctors in Athens, TX

Jay Takata, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 S Palestine St, Athens, TX 75751 Phone: 903-677-3737 Fax: 903-677-6014
Srikar Reddy Mapakshi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 S Murchison St, Athens, TX 75751 Phone: 903-677-3737 Fax: 903-677-6014
Mr. Ronald Dwayne Cates, MD PA Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 704 S Palestine, Athens, TX 75751 Phone: 903-675-1717 Fax: 903-675-3338
Shawn Tai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Medical Cir Ste 106, Athens, TX 75751 Phone: 903-675-1322 Fax: 903-675-6743
Dr. Steven Helf, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1505 State Highway 19 S, Athens, TX 75751 Phone: 903-675-1725
Dr. Maung Maung Oo, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Medical Cir, Suite 106, Athens, TX 75751 Phone: 903-675-1322 Fax: 903-675-6743
Michael C Tobes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1212 S Palestine St, Athens, TX 75751 Phone: 903-675-6800 Fax: 903-670-1134

Logan Wiggins Boldwill, MD - Medicare Internal Medicine in Athens, TX