Richard Justin Boruta, MD in Charlotte, NC

Richard Justin Boruta, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Charlotte, North Carolina. His current practice location is 1001 Blythe Blvd, Ste 500, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 373-1813.

Richard Justin Boruta is licensed to practice in North Carolina (license number 2015-00923) 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 1043444722.

Contact Information

	Richard Justin Boruta, MD
	1001 Blythe Blvd, Ste 500, Charlotte, NC 28203-5866
	(704) 373-1813
	Not Available

Map and Direction

Physician's Profile

Full Name	Richard Justin Boruta
Gender	Male
Speciality	Pediatrics - Pediatric Cardiology
Location	1001 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043444722
Provider Enumeration Date: 05/08/2009
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 7517101223
Enrollment ID: I20151109000148

Medical Identifiers

Medical identifiers for Richard Justin Boruta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043444722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	2015-00923 (North Carolina)	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. Richard Justin Boruta allows following entities to bill medicare on his behalf.

Entity Name	The Moses H Cone Memorial Hospital Operating Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455

Entity Name	Wakemed
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194907717 PECOS PAC ID: 7315937612 Enrollment ID: O20040722000418

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. Richard Justin Boruta 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
Richard Justin Boruta, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Richard Justin Boruta, MD 1001 Blythe Blvd, Ste 500, Charlotte, NC 28203-5866 Ph: (704) 373-1813

Reviews and Comments

Pediatrics Doctors in Charlotte, NC

Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840
Fnu Pardeep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905
Donald Shelton Chapman Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 231 S Sharon Amity Rd, Charlotte, NC 28211 Phone: 704-304-6400

Richard Justin Boruta, MD - Medicare Pediatrics in Charlotte, NC