Dr Allen Michael Booth, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Bismarck, North Dakota. His current practice location is
310 N 10th St, Bismarck, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 530-7500.
Dr Allen Michael Booth is licensed to practice in North Dakota (license number 5739) 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 1568562098.
Physician's Profile
| Full Name | Dr Allen Michael Booth |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 310 N 10th St, Bismarck, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568562098
- Provider Enumeration Date: 09/24/2006
- Last Update Date: 02/28/2008
Medicare PECOS Information:
- PECOS PAC ID: 8628039492
- Enrollment ID: I20041025000711
Medical Identifiers
Medical identifiers for Dr Allen Michael Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568562098 | NPI | - | NPPES |
| P00207754 | Other | ND | RAILROAD MEDICARE |
| 1568562098 | Other | ND | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 5739 (North Dakota) | 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. Dr Allen Michael Booth 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 Allen Michael Booth, MD 310 N 10th St, Bismarck, ND 58501-4516 Ph: (701) 530-7500 | Dr Allen Michael Booth, MD 310 N 10th St, Bismarck, ND 58501-4516 Ph: (701) 530-7500 |
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