Peter J Boosalis, MD is a medicare enrolled "Anesthesiology" physician in Stillwater, Minnesota. He went to University Of Minnesota Medical School and graduated in 1991 and has 33 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Dpi Of Georgia Llc and his current practice location is
927 Churchill St W, Stillwater, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 430-4585.
Peter J Boosalis is licensed to practice in Minnesota (license number 41145) 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 1174577316.
Physician's Profile
Full Name | Peter J Boosalis |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 33 Years |
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Location | 927 Churchill St W, Stillwater, Minnesota |
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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:
- Peter J Boosalis attended and graduated from University Of Minnesota Medical School in 1991
NPI Data:
- NPI Number: 1174577316
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2264499151
- Enrollment ID: I20231109001641
Medical Identifiers
Medical identifiers for Peter J Boosalis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174577316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 41145 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dpi Of Georgia Llc | 0941546923 | 36 |
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. Peter J Boosalis allows following entities to bill medicare on his behalf.
Entity Name | Dpi Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407323199 PECOS PAC ID: 0941546923 Enrollment ID: O20190111001990 |
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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. Peter J Boosalis 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 |
Peter J Boosalis, MD 14700 28th Ave N, Suite 20, Plymouth, MN 55447-4835 Ph: (763) 559-3779 | Peter J Boosalis, MD 927 Churchill St W, Stillwater, MN 55082-6605 Ph: (651) 430-4585 |
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