Trent Shakespear Boehm, DPM in Weston, WI - Medicare Podiatry Provider

Trent Shakespear Boehm, DPM is a medicare enrolled "Podiatrist" provider in Weston, Wisconsin. He went to Kent State University College Of Podiatric Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Family Foot And Ankle Clinic Llc and his current practice location is 5403 Normandy St, Weston, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 241-8100.

Trent Shakespear Boehm is licensed to practice in Wisconsin (license number 1200) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1871157099.

Contact Information

	Trent Shakespear Boehm, DPM
	5403 Normandy St, Weston, WI 54476-2217
	(715) 241-8100
	(715) 241-8102

Map and Direction

Healthcare Provider's Profile

Full Name	Trent Shakespear Boehm
Gender	Male
Speciality	Podiatry
Experience	5 Years
Location	5403 Normandy St, Weston, Wisconsin
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Trent Shakespear Boehm attended and graduated from Kent State University College Of Podiatric Medicine in 2019

NPI Data:

NPI Number: 1871157099
Provider Enumeration Date: 04/23/2019
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 8921486705
Enrollment ID: I20220607001879

Medical Identifiers

Medical identifiers for Trent Shakespear Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871157099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	1200 (Wisconsin)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aspirus Wausau Hospital	Wausau, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Foot And Ankle Clinic Llc	3072514876	5

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. Trent Shakespear Boehm allows following entities to bill medicare on his behalf.

Provider Name	Family Foot And Ankle Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659439321 PECOS PAC ID: 3072514876 Enrollment ID: O20070122000484

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. Trent Shakespear Boehm 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
Trent Shakespear Boehm, DPM 14 Pleasant Ave, Trotwood, OH 45426-2835 Ph: (817) 528-3725	Trent Shakespear Boehm, DPM 5403 Normandy St, Weston, WI 54476-2217 Ph: (715) 241-8100

Reviews and Comments

Podiatrist in Weston, WI

Dr. Joel J Tikalsky, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2405 Schofield Ave Ste 110, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102
Mark W Thomas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2405 Schofield Ave, Suite 110, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102
Kerry S Dernbach, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3501 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-1000
Allison Fischer, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5403 Normandy St, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102
Family Foot And Ankle Clinic Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 5403 Normandy St, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102

Trent Shakespear Boehm, DPM - Medicare Podiatrist in Weston, WI