Christina Lee Boull, MD - Medicare Pediatric Medicine in Minneapolis, MN

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Christina Lee Boull, MD is a medicare enrolled "Dermatology - Pediatric Dermatology" physician in Minneapolis, Minnesota. She went to University Of Minnesota Medical School and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Fairview Express Care, Hennepin Healthcare System Inc, University Of Minnesota Health Clinics And Surgery Center Inc and her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 365-6777.

Christina Lee Boull is licensed to practice in Minnesota (license number 52943) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225222862.

Contact Information

Christina Lee Boull, MD
2450 Riverside Ave,
Minneapolis, MN 55454-1450
(612) 365-6777
(612) 365-4370

Map and Direction




Physician's Profile

Full NameChristina Lee Boull
GenderFemale
SpecialityPediatric Medicine
Experience17 Years
Location2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Christina Lee Boull attended and graduated from University Of Minnesota Medical School in 2007
  NPI Data:
  • NPI Number: 1225222862
  • Provider Enumeration Date: 08/28/2007
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678893419
  • Enrollment ID: I20150519002337

Medical Identifiers

Medical identifiers for Christina Lee Boull such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225222862NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 52943 (Minnesota)Secondary
207NP0225XDermatology - Pediatric Dermatology 52943 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hennepin County Medical Center 1Minneapolis, MNHospital
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791523
Hennepin Healthcare System Inc4789684861794
University Of Minnesota Health Clinics And Surgery Center Inc9133423304492

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. Christina Lee Boull allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameHennepin Healthcare System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138136
PECOS PAC ID: 4789684861
Enrollment ID: O20070207000467
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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. Christina Lee Boull 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 AddressPractice Location Address
Christina Lee Boull, MD
720 Washington Ave Se,
Minneapolis, MN 55414-2924

Ph: (651) 884-0749		Christina Lee Boull, MD
2450 Riverside Ave,
Minneapolis, MN 55454-1450

Ph: (612) 365-6777

Reviews and Comments


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Andrea Lynn Bershow, MD
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Dr. Maria Kramarczuk Hordinsky, M.D.
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Lorie A Skibness, MD
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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.