Dr Bruce M Boman, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Newark, Delaware. His current practice location is
4701 Ogletown Stanton Rd Ste 2200, Newark, Delaware. You can reach out to his office (for appointments etc.) via phone at
(302) 623-4500.
Dr Bruce M Boman is licensed to practice in Delaware (license number C1-0008583) 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 1275556516.
Physician's Profile
| Full Name | Dr Bruce M Boman |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 4701 Ogletown Stanton Rd Ste 2200, Newark, Delaware |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275556516
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 05/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 5294786133
- Enrollment ID: I20080404000668
Medical Identifiers
Medical identifiers for Dr Bruce M Boman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275556516 | NPI | - | NPPES |
| 7698003 | Medicaid | NJ | |
| 001715777 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD066107L (Pennsylvania) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | C1-0008583 (Delaware) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | MD066107L (Pennsylvania) | Secondary |
| 207SC0300X | Medical Genetics - Clinical Cytogenetics | MD066107L (Pennsylvania) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | MD066107L (Pennsylvania) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | C1-0008583 (Delaware) | 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. Dr Bruce M Boman allows following entities to bill medicare on his behalf.
| Entity Name | Christiana Care Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770568107
PECOS PAC ID: 9739097569
Enrollment ID: O20031201000477 |
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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 Bruce M Boman 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 |
|---|
Dr Bruce M Boman, MD
4701 Ogletown Stanton Rd Ste 2200,
Newark, DE 19713-7000
Ph: () - | Dr Bruce M Boman, MD
4701 Ogletown Stanton Rd Ste 2200,
Newark, DE 19713-7000
Ph: (302) 623-4500 |
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