Douglas E Boler, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Gulf Breeze, Florida. He went to Southern Illinois University School Of Medicine and graduated in 1998 and has 28 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice South Georgia Spine And Joint Center, Llc, Care Medical Center Llc and his current practice location is
1337 Country Club Rd, Gulf Breeze, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 735-4907.
Douglas E Boler is licensed to practice in Florida (license number ME91494) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1558339374.
Physician's Profile
| Full Name | Douglas E Boler |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 28 Years |
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| Location | 1337 Country Club Rd, Gulf Breeze, Florida |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Douglas E Boler attended and graduated from Southern Illinois University School Of Medicine in 1998
NPI Data:
- NPI Number: 1558339374
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476591959
- Enrollment ID: I20230706002243
Medical Identifiers
Medical identifiers for Douglas E Boler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558339374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | ME91494 (Florida) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | ME91494 (Florida) | Secondary |
| 207L00000X | Anesthesiology | ME91494 (Florida) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | ME91494 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| South Georgia Spine And Joint Center, Llc | 5294862090 | 6 |
| Care Medical Center Llc | 6406807015 | 25 |
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. Douglas E Boler allows following entities to bill medicare on his behalf.
| Entity Name | Care Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063521250
PECOS PAC ID: 6406807015
Enrollment ID: O20050201000493 |
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| Entity Name | South Georgia Spine And Joint Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770815250
PECOS PAC ID: 5294862090
Enrollment ID: O20100428000175 |
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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. Douglas E Boler 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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Douglas E Boler, MD
4730 N Habana Ave Ste 204,
Tampa, FL 33614-7148
Ph: (813) 549-2134 | Douglas E Boler, MD
1337 Country Club Rd,
Gulf Breeze, FL 32563-3451
Ph: (850) 735-4907 |
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