Dr Amanda Leigh Boozalis, MD in Minneapolis, MN - Medicare Obstetrics & Gynecology

Dr Amanda Leigh Boozalis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Minneapolis, Minnesota. Her current practice location is 3270 W Lake St, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 775-1800.

Dr Amanda Leigh Boozalis is licensed to practice in Minnesota (license number 74462) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043701527.

Contact Information

	Dr Amanda Leigh Boozalis, MD
	3270 W Lake St, Minneapolis, MN 55416-4512
	(612) 775-1800
	(612) 775-1805

Map and Direction

Physician's Profile

Full Name	Dr Amanda Leigh Boozalis
Gender	Female
Speciality	Obstetrics & Gynecology
Location	3270 W Lake St, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043701527
Provider Enumeration Date: 05/21/2018
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 9335494913
Enrollment ID: I20220617001719

Medical Identifiers

Medical identifiers for Dr Amanda Leigh Boozalis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043701527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	01087868A (Indiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207V00000X	Obstetrics & Gynecology	74462 (Minnesota)	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. Dr Amanda Leigh Boozalis allows following entities to bill medicare on her behalf.

Entity Name	University Obstetricians-gynecologists,inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235177924 PECOS PAC ID: 5092796466 Enrollment ID: O20040601000544

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 Amanda Leigh Boozalis 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 Amanda Leigh Boozalis, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Dr Amanda Leigh Boozalis, MD 3270 W Lake St, Minneapolis, MN 55416-4512 Ph: (612) 775-1800

Reviews and Comments

Obstetrics & Gynecology Doctors in Minneapolis, MN

David Charles Nagel, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 606 24th Ave S, Suite 700, Minneapolis, MN 55454 Phone: 612-672-2450
Jessica L Nyholm, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 606 24th Ave S, Suite 400, Minneapolis, MN 55454 Phone: 612-273-2223
Mr. Clifton O Brock, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 902 E 26th St Ste 1700, Minneapolis, MN 55404 Phone: 612-863-4502
John W Hering, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2220 Riverside Ave, Mail Stop 31700a, Minneapolis, MN 55454 Phone: 612-371-1600 Fax: 612-371-1732
Marilyn Susan Joseph, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Boynton Health Service, Minneapolis, MN 55455 Phone: 612-625-5187 Fax: 612-625-0902
Dr. Jennifer Martha Mckeand, MD MS Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 121 South 8th St Suite 600, Womens Health Consultants, Minneapolis, MN 55402 Phone: 612-333-4822 Fax: 612-333-3108

Dr Amanda Leigh Boozalis, MD - Medicare Obstetrics & Gynecology in Minneapolis, MN