Mr Charles Holloway Boardman Iv, OTR - Occupational Therapist in Lake City, FL

Mr Charles Holloway Boardman Iv, OTR is a Occupational Therapist based in Lake City, Florida. Mr Charles Holloway Boardman Iv is licensed to practice in Florida (license number OT14416FL) and his current practice location is 619 South Marion Ave, North Florida / South Georgia Veterans Health System, Lake City, Florida. He can be reached at his office (for appointments etc.) via phone at (386) 755-3016.

NPI number for Mr Charles Holloway Boardman Iv is 1164417895 and his current mailing address is 355 Sw Sweetbreeze Dr, Lake City, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164417895.

Contact Information

Mr Charles Holloway Boardman Iv, OTR
619 South Marion Ave, North Florida / South Georgia Veterans Health System,
Lake City, FL 32025
(386) 755-3016
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Charles Holloway Boardman Iv
GenderMale
SpecialityOccupational Therapist
Location619 South Marion Ave, Lake City, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164417895
  • Provider Enumeration Date: 09/19/2005
  • Last Update Date: 02/25/2012

Medical Identifiers

Medical identifiers for Mr Charles Holloway Boardman Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164417895NPI-NPPES
OT14416FLOtherFLFLORIDA DEPARTMENT OF HEALTH
AA499343OtherNBCOT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT14416FL (Florida)Primary

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. Mr Charles Holloway Boardman Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Charles Holloway Boardman Iv, OTR
355 Sw Sweetbreeze Dr,
Lake City, FL 32024-3698

Ph: (386) 755-3016
Mr Charles Holloway Boardman Iv, OTR
619 South Marion Ave, North Florida / South Georgia Veterans Health System,
Lake City, FL 32025

Ph: (386) 755-3016

Reviews and Comments


Occupational Therapist in Lake City, FL

Mary Ann Di Lillo, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 619 S Marion Ave, Lake City, FL 32025
Phone: 386-755-3016    
Morgan Murphy,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 298 Sw Prosperity Pl, Lake City, FL 32024
Phone: 386-269-3900    
Seema Kunder, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 659 Sw Dexter Cir, Apt 105, Lake City, FL 32025
Phone: 386-344-3807    
Ms. Taisha D Brown, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 560 Sw Mcfarlane Ave, Lake City, FL 32025
Phone: 386-758-4777    
Jasmin Henry-fuller,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 229 Sw Main Blvd, Lake City, FL 32025
Phone: 386-515-3009    
Miss Armenthis Youhon Lester, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 619 S Marion Ave, Lake City, FL 32025
Phone: 386-755-3016    

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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.

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