Nelson Forrest Boland, MD in Santa Monica, CA

Nelson Forrest Boland, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Santa Monica, California. His current practice location is 1225 15th St Ste 2100, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 319-1234.

Nelson Forrest Boland is licensed to practice in California (license number A179762) 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 1649739764.

Contact Information

	Nelson Forrest Boland, MD
	1225 15th St Ste 2100, Santa Monica, CA 90404-1101
	(310) 319-1234
	Not Available

Map and Direction

Physician's Profile

Full Name	Nelson Forrest Boland
Gender	Male
Speciality	Family Medicine - Sports Medicine
Location	1225 15th St Ste 2100, Santa Monica, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649739764
Provider Enumeration Date: 03/18/2019
Last Update Date: 11/07/2022

Medicare PECOS Information:

PECOS PAC ID: 7416333117
Enrollment ID: I20221004001723

Medical Identifiers

Medical identifiers for Nelson Forrest Boland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649739764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A179762 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207QS0010X	Family Medicine - Sports Medicine	A179762 (California)	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. Nelson Forrest Boland allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528179793 PECOS PAC ID: 2062312291 Enrollment ID: O20040112000584

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. Nelson Forrest Boland 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
Nelson Forrest Boland, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Nelson Forrest Boland, MD 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 Ph: (310) 319-1234

Reviews and Comments

Family Medicine Doctors in Santa Monica, CA

Dr. Jamie Ann Elson-wolin, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2121 Wilshire Blvd, Suite 306, Santa Monica, CA 90403 Phone: 310-264-0765 Fax: 310-829-0765
Dr. Patricia Yee-ling Chang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd, Suite 300, Santa Monica, CA 90401 Phone: 310-395-5588
Meron Abreham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4700
Martin Louis Alpert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Wilshire Blvd Ste 810, Santa Monica, CA 90403 Phone: 310-393-0739 Fax: 310-395-2063
Olivia Taeko Ishibashi, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4711
Edison Victor De Mello, MD PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 Arizona Avenue, Santa Monica, CA 90401 Phone: 310-451-8880 Fax: 310-451-8803
Dr. Brian Yoshio Laing, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1920 Colorado Ave, Santa Monica, CA 90404 Phone: 310-319-4700 Fax: 310-453-5106

Nelson Forrest Boland, MD - Medicare Family Medicine in Santa Monica, CA