James Boddy, in Green Bay, WI - Medicare Registered Nurse

James Boddy, is a medicare enrolled "Registered Nurse" in Green Bay, Wisconsin. His current practice location is 2851 University Ave, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 431-2500.

James Boddy is licensed to practice in Wisconsin (license number 242441) 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 1891310827.

Contact Information

	James Boddy,
	2851 University Ave, Green Bay, WI 54311-5855
	(920) 431-2500
	Not Available

Map and Direction

Provider's Profile

Full Name	James Boddy
Gender	Male
Speciality	Registered Nurse
Location	2851 University Ave, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891310827
Provider Enumeration Date: 06/16/2020
Last Update Date: 06/19/2020

Medicare PECOS Information:

PECOS PAC ID: 0840648127
Enrollment ID: I20231127003117

Medical Identifiers

Medical identifiers for James Boddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891310827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F06201277 (Wisconsin)	Secondary
163W00000X	Registered Nurse	242441 (Wisconsin)	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. James Boddy allows following entities to bill medicare on his behalf.

Entity Name	Recovia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427421098 PECOS PAC ID: 1456629211 Enrollment ID: O20170620000742

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. James Boddy 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
James Boddy, 2851 University Ave, Green Bay, WI 54311-5855 Ph: () -	James Boddy, 2851 University Ave, Green Bay, WI 54311-5855 Ph: (920) 431-2500

Reviews and Comments

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James Boddy, - Medicare Registered Nurse in Green Bay, WI