Alexander Tyler Booth, MD is a
Colon & Rectal Surgery physician based in Charleston, South Carolina. Alexander Tyler Booth is licensed to practice in South Carolina (license number MD98051) and his current practice location is 30 Courtenay Drive Msc 295, Charleston, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 792-1414.
NPI number for Alexander Tyler Booth is 1790389112 and his current mailing address is Po Box 751461, Charlotte, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790389112.
Physician's Profile
| Full Name | Alexander Tyler Booth |
|---|
| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 30 Courtenay Drive Msc 295, Charleston, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790389112
- Provider Enumeration Date: 06/13/2018
- Last Update Date: 09/01/2026
Medical Identifiers
Medical identifiers for Alexander Tyler Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790389112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | MD98051 (South Carolina) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD98051 (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. Alexander Tyler Booth 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 Address | Practice Location Address |
Alexander Tyler Booth, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: Not Available | Alexander Tyler Booth, MD 30 Courtenay Drive Msc 295, Charleston, SC 29425-0001 Ph: (843) 792-1414 |
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