Dr William A Boller Iii, MD | |
1 Wahoo Ave, Groton, CT 06349-2324 | |
(860) 694-2377 | |
(860) 694-2590 |
Full Name | Dr William A Boller Iii |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 1 Wahoo Ave, Groton, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972730380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101250100 (Virginia) | Secondary |
207P00000X | Emergency Medicine | MD24366 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Charles A Dean Memorial Hospital | Greenville, ME | Hospital |
Mayo Regional Hospital | Dover foxcroft, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charles A. Dean Memorial Hospital | 1557279031 | 15 |
Entity Name | Charles A. Dean Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659388213 PECOS PAC ID: 1557279031 Enrollment ID: O20100608000349 |
Entity Name | Emergency Medicine Services Of Maine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578032058 PECOS PAC ID: 1052657616 Enrollment ID: O20190118000889 |
Entity Name | Mrh Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558319103 PECOS PAC ID: 1355770892 Enrollment ID: O20200803002384 |
Mailing Address | Practice Location Address |
---|---|
Dr William A Boller Iii, MD 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-2377 | Dr William A Boller Iii, MD 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-2377 |
Dr. Peter Paul Bertolozzi Jr., D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 Michelle Ln, Apt 306, Groton, CT 06340 Phone: 617-448-1589 |