Richard Boulware, PA - Physician Assistant in Charlotte, NC

Richard Boulware, PA is a Physician Assistant - Medical based in Charlotte, North Carolina. Richard Boulware is licensed to practice in South Carolina (license number 786) and his current practice location is 1918 Randolph Rd, Suite 400, Charlotte, North Carolina. He can be reached at his office (for appointments etc.) via phone at (704) 384-9437.

NPI number for Richard Boulware is 1124144043 and his current mailing address is Po Box 60447, Charlotte, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124144043.

Contact Information

Richard Boulware, PA
1918 Randolph Rd, Suite 400,
Charlotte, NC 28207-1196
(704) 384-9437
(704) 384-9440

Map and Direction




Provider's Profile

Full NameRichard Boulware
GenderMale
SpecialityPhysician Assistant - Medical
Location1918 Randolph Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124144043
  • Provider Enumeration Date: 03/22/2007
  • Last Update Date: 10/09/2009

Medical Identifiers

Medical identifiers for Richard Boulware such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124144043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-01817 (North Carolina)Secondary
363AM0700XPhysician Assistant - Medical 786 (South Carolina)Primary

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 Boulware is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Richard Boulware, PA
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 384-7840
Richard Boulware, PA
1918 Randolph Rd, Suite 400,
Charlotte, NC 28207-1196

Ph: (704) 384-9437

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.