Mark Boulware, MD in Colorado Springs, CO - Medicare Interventional Cardiology

Mark Boulware, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Colorado Springs, Colorado. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is 1400 E Boulder St, Suite 700, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 635-7172.

Mark Boulware is licensed to practice in Colorado (license number DR.0054836) 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 1437375318.

Contact Information

	Mark Boulware, MD
	1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533
	(719) 635-7172
	(719) 444-3717

Map and Direction

Physician's Profile

Full Name	Mark Boulware
Gender	Male
Speciality	Interventional Cardiology
Experience	21 Years
Location	1400 E Boulder St, Colorado Springs, Colorado
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:

Mark Boulware attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2003

NPI Data:

NPI Number: 1437375318
Provider Enumeration Date: 04/18/2007
Last Update Date: 02/10/2015

Medicare PECOS Information:

PECOS PAC ID: 8921277559
Enrollment ID: I20150226001373

Medical Identifiers

Medical identifiers for Mark Boulware such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437375318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2006-01834 (North Carolina)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	DR.0054836 (Colorado)	Primary
207RC0000X	Internal Medicine - Cardiovascular Disease	DR.0054836 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uch-memorial Health System	Colorado springs, CO	Hospital
University Of Colorado Hospital Authority	Aurora, CO	Hospital
Uchealth Pikes Peak Regional Hospital	Woodland park, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Poudre Valley Medical Group Llc	9638208549	1607

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. Mark Boulware allows following entities to bill medicare on his behalf.

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

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. Mark 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 Address	Practice Location Address
Mark Boulware, MD 2695 Rocky Mountain Ave, Suite 150, Loveland, CO 80538-8702 Ph: (970) 624-4443	Mark Boulware, MD 1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533 Ph: (719) 635-7172

Reviews and Comments

Internal Medicine Doctors in Colorado Springs, CO

Michael Judd Burkholz, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2940 N Circle Dr, Colorado Springs, CO 80909 Phone: 719-635-7321 Fax: 719-635-2510
Mrs. Rachel Elizabeth Black, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2222 N Nevada Ave Ste 4004, Colorado Springs, CO 80907 Phone: 719-471-7064
Dr. Rohan Khurana, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-1292 Fax: 719-365-6997
William A Munson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 E Fontanero St, Colorado Springs Endocrine Clinic Pc, Colorado Springs, CO 80907 Phone: 719-636-3829 Fax: 719-636-1387
Barbara E Johnston, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 350, Colorado Springs, CO 80910 Phone: 719-633-5515 Fax: 719-365-1307
Dr. Raymond L. Wahl, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2502 E Pikes Peak Ave, Colorado Springs, CO 80909 Phone: 719-630-6440 Fax: 719-228-6603
Dr. Duane Ryan Spaulding, M.D., F.A.C.P. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6722 Northface Ln, Colorado Springs, CO 80919 Phone: 719-590-9338

Mark Boulware, MD - Medicare Interventional Cardiology in Colorado Springs, CO