Chadwick Boberg, CNP in Bellefontaine, OH - Medicare Nurse Practitioner

Chadwick Boberg, CNP is a medicare enrolled "Nurse Practitioner - Family" in Bellefontaine, Ohio. He went to Wright State University Boonshoft School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mary Rutan Hospital and his current practice location is 205 Palmer Avenue, Bellefontaine, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 592-4015.

Chadwick Boberg is licensed to practice in Ohio (license number COA.17410) 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 1639558711.

Contact Information

	Chadwick Boberg, CNP
	205 Palmer Avenue, Bellefontaine, OH 43311
	(937) 592-4015
	Not Available

Map and Direction

Provider's Profile

Full Name	Chadwick Boberg
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	205 Palmer Avenue, Bellefontaine, Ohio
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:

Chadwick Boberg attended and graduated from Wright State University Boonshoft School Of Medicine in 2015

NPI Data:

NPI Number: 1639558711
Provider Enumeration Date: 05/22/2015
Last Update Date: 09/17/2015

Medicare PECOS Information:

PECOS PAC ID: 7911210943
Enrollment ID: I20150721000707

Medical Identifiers

Medical identifiers for Chadwick Boberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639558711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	COA.17410 (Ohio)	Primary
163W00000X	Registered Nurse	RN.273386 (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Rutan Hospital	Bellefontaine, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mary Rutan Hospital	9032013792	80

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. Chadwick Boberg allows following entities to bill medicare on his behalf.

Entity Name	Mary Rutan Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548254931 PECOS PAC ID: 9032013792 Enrollment ID: O20031124000531

Entity Name	Wilson Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205886926 PECOS PAC ID: 4385549666 Enrollment ID: O20031201000170

Entity Name	Emergency Professional Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864

Entity Name	Ohio Emergency Professionals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785

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. Chadwick Boberg 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
Chadwick Boberg, CNP 205 Palmer Avenue, Bellefontaine, OH 43311 Ph: (937) 592-4015	Chadwick Boberg, CNP 205 Palmer Avenue, Bellefontaine, OH 43311 Ph: (937) 592-4015

Reviews and Comments

Nurse Practitioner Nurses in Bellefontaine, OH

Mindy Nicole Thompson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 E Palmer Rd, Bellefontaine, OH 43311 Phone: 937-592-4015
Justin Paul Gildow, F.N.P-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 E Columbus Ave, Bellefontaine, OH 43311 Phone: 937-599-1411 Fax: 937-599-4128
Mrs. Jodi Jean Kiessling, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 E Columbus Ave Ste 1, Bellefontaine, OH 43311 Phone: 937-599-1411
Kathleen Jeanette Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 Timber Trl, Bellefontaine, OH 43311 Phone: 937-592-3808 Fax: 937-593-8408
Mrs. Leslie Lee Joseph, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 E Palmer Rd, Bellefontaine, OH 43311 Phone: 937-592-4015
Stacy Eldridge, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1134 N Main St, Bellefontaine, OH 43311 Phone: 937-651-6820
Dana Nicole Frazier, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1860 S Main Street, Bellefontaine, OH 43311 Phone: 937-592-0731

Chadwick Boberg, CNP - Medicare Nurse Practitioner in Bellefontaine, OH