Peter J Boosalis, MD - Medicare Anesthesiology in Stillwater, MN

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.

Contact Information

Peter J Boosalis, MD
927 Churchill St W,
Stillwater, MN 55082-6605
(651) 430-4585
Not Available

Map and Direction




Physician's Profile

Full NamePeter J Boosalis
GenderMale
SpecialityAnesthesiology
Experience33 Years
Location927 Churchill St W, Stillwater, Minnesota
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1174577316NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 41145 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cartersville Medical CenterCartersville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dpi Of Georgia Llc094154692336

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 NameDpi Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407323199
PECOS PAC ID: 0941546923
Enrollment ID: O20190111001990

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 AddressPractice 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

Reviews and Comments


Anesthesiology Doctors in Stillwater, MN

Mark D Wojtowicz, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 927 Churchill St W, Stillwater, MN 55082
Phone: 651-430-4585    
Dr. Monte Norgaard, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 12747 53rd St N, Stillwater, MN 55082
Phone: 651-351-7079    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.