Grigorii Gennadiyouych Bouldo, DO in Staunton, VA

Grigorii Gennadiyouych Bouldo, DO is a medicare enrolled "Family Medicine" physician in Staunton, Virginia. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Carilion Healthcare Corporation, Ivyrehab Sept, Llc and his current practice location is 40 Lambert St, Staunton, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 885-3525.

Grigorii Gennadiyouych Bouldo is licensed to practice in Virginia (license number 0116025455) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912260787.

Contact Information

	Grigorii Gennadiyouych Bouldo, DO
	40 Lambert St, Staunton, VA 24401-2446
	(540) 885-3525
	(540) 886-5935

Map and Direction

Physician's Profile

Full Name	Grigorii Gennadiyouych Bouldo
Gender	Male
Speciality	Family Practice
Experience	11 Years
Location	40 Lambert St, Staunton, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Grigorii Gennadiyouych Bouldo graduated from medical school in 2013

NPI Data:

NPI Number: 1912260787
Provider Enumeration Date: 06/18/2012
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 7113324682
Enrollment ID: I20210927000266

Medical Identifiers

Medical identifiers for Grigorii Gennadiyouych Bouldo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912260787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0116025455 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health Care	Staunton, VA	Home health agency
Augusta Health	Fishersville, VA	Hospital
University Of Virginia Medical Center	Charlottesville, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carilion Healthcare Corporation	5890607253	408
Ivyrehab Sept, Llc	7911990908	1137

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. Grigorii Gennadiyouych Bouldo allows following entities to bill medicare on his behalf.

Entity Name	Carilion Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273

Entity Name	Carilion Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472

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. Grigorii Gennadiyouych Bouldo 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
Grigorii Gennadiyouych Bouldo, DO 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () -	Grigorii Gennadiyouych Bouldo, DO 40 Lambert St, Staunton, VA 24401-2446 Ph: (540) 885-3525

Reviews and Comments

Family Medicine Doctors in Staunton, VA

Dr. Barry Kent Diduch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 851 Statler Blvd, Staunton, VA 24401 Phone: 540-245-7470 Fax: 540-245-7766
Mrs. Kelli Cash, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Myers Corner Dr, Staunton, VA 24401 Phone: 540-688-2646 Fax: 540-688-2656
Mandee Stull, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 40 Lambert St Ste 522, Staunton, VA 24401 Phone: 540-885-3525
Dr. Thomas A Shapcott, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1429 N Augusta St, Staunton, VA 24401 Phone: 540-886-1300 Fax: 540-886-2545
Dr. Margaret Chaffin Siman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 Lambert St Ste 422, Staunton, VA 24401 Phone: 540-213-0311 Fax: 540-213-0122
Leon E Lenker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 Lambert St, Suite 522, Staunton, VA 24401 Phone: 540-885-3525 Fax: 540-886-5935
Benjamin G Farley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 851 Statler Blvd, Staunton, VA 24401 Phone: 540-245-7470 Fax: 540-245-7471

Grigorii Gennadiyouych Bouldo, DO - Medicare Family Practice in Staunton, VA