Dr Valy Boulom, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Morgan Hill, California. She went to University Of Southern California Keck School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Vascular Surgery. She is a member of the group practice Bass Medical Group and her current practice location is
18525 Sutter Blvd Ste 140, Morgan Hill, California. You can reach out to her office (for appointments etc.) via phone at
(408) 333-9580.
Dr Valy Boulom is licensed to practice in California (license number 130020) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174785232.
Physician's Profile
| Full Name | Dr Valy Boulom |
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| Gender | Female |
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| Speciality | Vascular Surgery |
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| Experience | 16 Years |
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| Location | 18525 Sutter Blvd Ste 140, Morgan Hill, California |
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| Accepts Medicare Assignments | Yes. She 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 Valy Boulom attended and graduated from University Of Southern California Keck School Of Medicine in 2008
NPI Data:
- NPI Number: 1174785232
- Provider Enumeration Date: 06/30/2008
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951530419
- Enrollment ID: I20160826001712
Medical Identifiers
Medical identifiers for Dr Valy Boulom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174785232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0129X | Surgery - Vascular Surgery | 130020 (California) | Primary |
| 208600000X | Surgery | P22886 (Maryland) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bass Medical Group | 9032111281 | 309 |
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 Valy Boulom allows following entities to bill medicare on her behalf.
| Entity Name | Bass Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174253405
PECOS PAC ID: 9032111281
Enrollment ID: O20070201000181 |
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| Entity Name | Shadelands Endovascular Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1245620954
PECOS PAC ID: 9436440070
Enrollment ID: O20160629000330 |
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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 Valy Boulom 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 Valy Boulom, MD
18525 Sutter Blvd Ste 140,
Morgan Hill, CA 95037-2883
Ph: (408) 333-9580 | Dr Valy Boulom, MD
18525 Sutter Blvd Ste 140,
Morgan Hill, CA 95037-2883
Ph: (408) 333-9580 |
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