Dr Dalton Boland, DPT is a medicare enrolled "Physical Therapist" provider in Marengo, Iowa. His current practice location is
300 W May St, Marengo, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 642-5543.
Dr Dalton Boland is licensed to practice in Iowa (license number 096848) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841846383.
Healthcare Provider's Profile
| Full Name | Dr Dalton Boland |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 300 W May St, Marengo, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841846383
- Provider Enumeration Date: 08/12/2019
- Last Update Date: 08/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 8527498674
- Enrollment ID: I20200414001183
Medical Identifiers
Medical identifiers for Dr Dalton Boland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841846383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 096848 (Iowa) | Primary |
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 Dalton Boland allows following entities to bill medicare on his behalf.
| Provider Name | Marengo Memorial Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1053368191
PECOS PAC ID: 0749199446
Enrollment ID: O20040318000643 |
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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 Dalton Boland 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 |
|---|
Dr Dalton Boland, DPT
300 W May St,
Marengo, IA 52301-1261
Ph: (319) 642-5543 | Dr Dalton Boland, DPT
300 W May St,
Marengo, IA 52301-1261
Ph: (319) 642-5543 |
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