Kohldon Carter Boydston, MD in Wauwatosa, WI

Kohldon Carter Boydston, MD is a medicare enrolled "Urology" physician in Wauwatosa, Wisconsin. He went to Rush Medical College Of Rush University and graduated in 2016 and has 8 years of diverse experience with area of expertise as Urology. He is a member of the group practice Metropolitan Urology Group, Sc, Wheaton Franciscan Medical Group Inc and his current practice location is 2600 N Mayfair Rd Ste 545, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 476-0430.

Kohldon Carter Boydston is licensed to practice in Wisconsin (license number 76733) 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 1518320100.

Contact Information

	Kohldon Carter Boydston, MD
	2600 N Mayfair Rd Ste 545, Wauwatosa, WI 53226-1306
	(414) 476-0430
	Not Available

Map and Direction

Physician's Profile

Full Name	Kohldon Carter Boydston
Gender	Male
Speciality	Urology
Experience	8 Years
Location	2600 N Mayfair Rd Ste 545, Wauwatosa, Wisconsin
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:

Kohldon Carter Boydston attended and graduated from Rush Medical College Of Rush University in 2016

NPI Data:

NPI Number: 1518320100
Provider Enumeration Date: 03/31/2016
Last Update Date: 09/27/2022

Medicare PECOS Information:

PECOS PAC ID: 5294028809
Enrollment ID: I20220315001160

Medical Identifiers

Medical identifiers for Kohldon Carter Boydston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518320100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	76733 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension All Saints Hospital	Racine, WI	Hospital
Ascension Se Wisconsin Hospital - St Joseph Campus	Milwaukee, WI	Hospital
Ascension St Francis Hospital	Milwaukee, WI	Hospital
Aurora Medical Center Kenosha	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Metropolitan Urology Group, Sc	6002703840	4
Wheaton Franciscan Medical Group Inc	8628980943	594

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. Kohldon Carter Boydston allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Metropolitan Urology Group, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336201110 PECOS PAC ID: 6002703840 Enrollment ID: O20040304000421

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. Kohldon Carter Boydston 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
Kohldon Carter Boydston, MD 2301 Erwin Rd, Durham, NC 27705-4699 Ph: (919) 684-8111	Kohldon Carter Boydston, MD 2600 N Mayfair Rd Ste 545, Wauwatosa, WI 53226-1306 Ph: (414) 476-0430

Reviews and Comments

Urology Doctors in Wauwatosa, WI

William H Annesley Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1547 Upper Pkwy S, Wauwatosa, WI 53213 Phone: 414-254-5610 Fax: 414-755-7576
John Patrick Walsh, MD Urology Medicare: Medicare Enrolled Practice Location: 2600 N Mayfair Rd, Suite 545, Wauwatosa, WI 53226 Phone: 414-476-0430 Fax: 414-476-3242
Christopher John Walsh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd, Ste 545, Wauwatosa, WI 53226 Phone: 414-476-0430 Fax: 414-476-3242

Kohldon Carter Boydston, MD - Medicare Urology in Wauwatosa, WI