Timothy Jerome Boly, DO - Medicare Pediatrics in Iowa City, IA

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Timothy Jerome Boly, DO is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Iowa City, Iowa. His current practice location is 200 Hawkins Dr, Iowa City, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 356-3462.

Timothy Jerome Boly is licensed to practice in Iowa (license number DO-05583) 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 1427586494.

Contact Information

Timothy Jerome Boly, DO
200 Hawkins Dr,
Iowa City, IA 52242-1009
(319) 356-3462
(319) 384-7899

Map and Direction




Physician's Profile

Full NameTimothy Jerome Boly
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location200 Hawkins Dr, Iowa City, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427586494
  • Provider Enumeration Date: 06/02/2017
  • Last Update Date: 07/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739459934
  • Enrollment ID: I20230710001306

Medical Identifiers

Medical identifiers for Timothy Jerome Boly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427586494NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics DO-05583 (Iowa)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine DO-05583 (Iowa)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. Timothy Jerome Boly allows following entities to bill medicare on his behalf.
Entity NameState University Of Iowa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477554814
PECOS PAC ID: 7618884230
Enrollment ID: O20031107000060

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. Timothy Jerome Boly 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
Timothy Jerome Boly, DO
200 Hawkins Dr,
Iowa City, IA 52242-1009

Ph: (319) 384-5258		Timothy Jerome Boly, DO
200 Hawkins Dr,
Iowa City, IA 52242-1009

Ph: (319) 356-3462

Reviews and Comments


Pediatrics Doctors in Iowa City, IA

Dr. Sarah Adalie Auerbach, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 Hawkins Dr, Iowa City, IA 52242
Phone: 319-356-2229    Fax: 319-356-7147
Vickie Diamandakis Pyevich, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hawkins Dr, Iowa City, IA 52242
Phone: 319-356-3537    Fax: 319-356-4693
Janice M. R. Staber, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 Hawkins Dr, Iowa City, IA 52242
Phone: 319-356-1616    Fax: 319-356-7659
William James Klutho, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 200 Hawkins Dr, Univeristy Of Iowa Dept Of Pediatrics, Iowa City, IA 52242
Phone: 319-384-8442    
Dr. Robert Jesse Blount, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hawkins Dr, Iowa City, IA 52242
Phone: 319-356-4419    Fax: 928-674-7705
Dr. Rebecca J Benson, M.D. PH. D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hawkins Dr, Iowa City, IA 52242
Phone: 319-356-4918    Fax: 319-356-4855
Dr. Moon Ley Tung, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 Hawkins Dr, Iowa City, IA 52242
Phone: 319-678-8435    Fax: 319-356-3347

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.