Bo Charles Li, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Bartlett, Tennessee. His current practice location is
8110 N Brother Blvd, Bartlett, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 255-5221.
Bo Charles Li is licensed to practice in Tennessee (license number MD37698) 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 1386687150.
Physician's Profile
| Full Name | Bo Charles Li |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 8110 N Brother Blvd, Bartlett, Tennessee |
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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: 1386687150
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 02/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022156074
- Enrollment ID: I20151211001829
Medical Identifiers
Medical identifiers for Bo Charles Li such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386687150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | MD37698 (Tennessee) | 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. Bo Charles Li allows following entities to bill medicare on his behalf.
| Entity Name | Baptist Memorial Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306089206
PECOS PAC ID: 5193610228
Enrollment ID: O20040218000385 |
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| Entity Name | Memphis Obstetrics And Gynecological Association Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306884911
PECOS PAC ID: 7214918762
Enrollment ID: O20040528001110 |
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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. Bo Charles Li 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 |
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Bo Charles Li, MD
8110 N Brother Blvd Ste 200,
Bartlett, TN 38133-2760
Ph: (901) 255-5221 | Bo Charles Li, MD
8110 N Brother Blvd,
Bartlett, TN 38133-2760
Ph: (901) 255-5221 |
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