Jason Peter Boulware, DO in Bronx, NY - Medicare Emergency Medicine

Jason Peter Boulware, DO is a medicare enrolled "Emergency Medicine" physician in Bronx, New York. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Stationmd Professional Corporation, Affinity Physicians Llc., Stationmd Professional Corporation, Stationmd Professional Corporation, First Physicians Corporation and his current practice location is 2353 Hughes Ave, Apt 1a, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (646) 737-4364.

Jason Peter Boulware is licensed to practice in New York (license number 259532-1) 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 1013211168.

Contact Information

	Jason Peter Boulware, DO
	2353 Hughes Ave, Apt 1a, Bronx, NY 10458-8267
	(646) 737-4364
	Not Available

Map and Direction

Physician's Profile

Full Name	Jason Peter Boulware
Gender	Male
Speciality	Emergency Medicine
Experience	12 Years
Location	2353 Hughes Ave, Bronx, New York
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:

Jason Peter Boulware graduated from medical school in 2012

NPI Data:

NPI Number: 1013211168
Provider Enumeration Date: 01/04/2011
Last Update Date: 06/04/2021

Medicare PECOS Information:

PECOS PAC ID: 8628236387
Enrollment ID: I20120227000387

Medical Identifiers

Medical identifiers for Jason Peter Boulware such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013211168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	286222 (Massachusetts)	Secondary
207P00000X	Emergency Medicine	259532-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southcoast Hospitals Group	Fall river, MA	Hospital
Kent County Memorial Hospital	Warwick, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stationmd Professional Corporation	6204184104	42
Affinity Physicians Llc.	0244413391	619
Stationmd Professional Corporation	6204184104	42
Stationmd Professional Corporation	6204184104	42
First Physicians Corporation	0244518454	36

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. Jason Peter Boulware allows following entities to bill medicare on his behalf.

Entity Name	Hudson Valley Regional Community Health Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477051589 PECOS PAC ID: 3779845284 Enrollment ID: O20180321002010

Entity Name	Stationmd Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285015347 PECOS PAC ID: 6204184104 Enrollment ID: O20200331000327

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. Jason Peter Boulware 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
Jason Peter Boulware, DO 515 Valley St, Ste 203, Maplewood, NJ 07040-4300 Ph: (908) 663-2929	Jason Peter Boulware, DO 2353 Hughes Ave, Apt 1a, Bronx, NY 10458-8267 Ph: (646) 737-4364

Reviews and Comments

Emergency Medicine Doctors in Bronx, NY

Dr. Thomas Henry Parry, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 718-579-6010
May Yee Helman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 718-992-7669
Dr. Angelica Rosa Angiulli, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1825 Eastchester Rd, Bronx, NY 10461 Phone: 718-904-2904
Dr. Patrick Spencer Eiben, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pelham Pkwy S, Building 6//suite B125, Bronx, NY 10461 Phone: 718-918-5820
Nai Li, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4422 3rd Ave, Bronx, NY 10457 Phone: 718-960-9000
Vinay Saggar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Pelham Pkwy S Ste B125, Bronx, NY 10461 Phone: 718-918-5820
Joshua Ronald Gravel, MD, MSC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 239-233-1156

Jason Peter Boulware, DO - Medicare Emergency Medicine in Bronx, NY