Dr Preston Boles, DPM is a medicare enrolled "Podiatrist" provider in Greenwood, Mississippi. He went to Kent State University College Of Podiatric Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Podiatry. His current practice location is
309 W Church St, Greenwood, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 453-9004.
Dr Preston Boles is licensed to practice in Mississippi (license number 80105) 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 1699734855.
Healthcare Provider's Profile
| Full Name | Dr Preston Boles |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 35 Years |
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| Location | 309 W Church St, Greenwood, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Preston Boles attended and graduated from Kent State University College Of Podiatric Medicine in 1990
NPI Data:
- NPI Number: 1699734855
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 04/02/2008
Medicare PECOS Information:
- PECOS PAC ID: 8224038906
- Enrollment ID: I20070515000154
Medical Identifiers
Medical identifiers for Dr Preston Boles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699734855 | NPI | - | NPPES |
| 00015222 | Medicaid | MS | |
| P00391905 | Other | MS | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 80105 (Mississippi) | Primary |
Medical Facilities Affiliation
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. Dr Preston Boles allows following entities to bill medicare on his behalf.
| Provider Name | Greenwood Leflore Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962471417
PECOS PAC ID: 6305943028
Enrollment ID: O20070515000126 |
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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. Dr Preston Boles 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 |
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Dr Preston Boles, DPM
Po Box 1410, Clinic Administration,
Greenwood, MS 38935-1410
Ph: (662) 459-7189 | Dr Preston Boles, DPM
309 W Church St,
Greenwood, MS 38930-4305
Ph: (662) 453-9004 |
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