Charles Moore Boothby, DO - Medicare Preventive Medicine in Palm Harbor, FL

Charles Moore Boothby, DO is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Palm Harbor, Florida. His current practice location is 3890 Tampa Rd, Suite 201, Palm Harbor, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 781-3111.

Charles Moore Boothby is licensed to practice in Florida (license number OS4598) 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 1588600092.

Contact Information

Charles Moore Boothby, DO
3890 Tampa Rd, Suite 201,
Palm Harbor, FL 34684-3676
(727) 781-3111
(727) 781-3113

Map and Direction




Physician's Profile

Full NameCharles Moore Boothby
GenderMale
SpecialityPreventive Medicine - Undersea And Hyperbaric Medicine
Location3890 Tampa Rd, Palm Harbor, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588600092
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 03/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4688692494
  • Enrollment ID: I20051110000425

Medical Identifiers

Medical identifiers for Charles Moore Boothby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588600092NPI-NPPES
069165800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine OS4598 (Florida)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. Charles Moore Boothby allows following entities to bill medicare on his behalf.
Entity NameNautilus Health Care Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912013558
PECOS PAC ID: 5991604852
Enrollment ID: O20040108000803

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. Charles Moore Boothby 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 AddressPractice Location Address
Charles Moore Boothby, DO
Po Box 25513,
Tampa, FL 33622-5513

Ph: (727) 823-2188
Charles Moore Boothby, DO
3890 Tampa Rd, Suite 201,
Palm Harbor, FL 34684-3676

Ph: (727) 781-3111

Reviews and Comments


Preventive Medicine Doctors in Palm Harbor, FL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.