Dr Benjamin Jelinek Boardman, MD - Medicare Family Practice in Black River Falls, WI

Dr Benjamin Jelinek Boardman, MD is a medicare enrolled "Family Medicine" physician in Black River Falls, Wisconsin. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Black River Memorial Hospital Inc, Upland Hills Health Inc and his current practice location is N6520 Guy Road, Black River Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 284-9851.

Dr Benjamin Jelinek Boardman is licensed to practice in Wisconsin (license number 39498) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487749396.

Contact Information

Dr Benjamin Jelinek Boardman, MD
N6520 Guy Road,
Black River Falls, WI 54615
(715) 284-9851
(715) 284-5150

Map and Direction




Physician's Profile

Full NameDr Benjamin Jelinek Boardman
GenderMale
SpecialityFamily Practice
Experience32 Years
LocationN6520 Guy Road, Black River Falls, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Benjamin Jelinek Boardman attended and graduated from Icahn School Of Medicine At Mount Sinai in 1992
  NPI Data:
  • NPI Number: 1487749396
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6103098033
  • Enrollment ID: I20111018000742

Medical Identifiers

Medical identifiers for Dr Benjamin Jelinek Boardman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487749396NPI-NPPES
80192405OtherWIPALMETTO GBA
32399800MedicaidWI
51470OtherWISECURITY HEALTH PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 39498 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Upland Hills HealthDodgeville, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Black River Memorial Hospital Inc317343117834
Upland Hills Health Inc307241555351

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 Benjamin Jelinek Boardman allows following entities to bill medicare on his behalf.
Entity NameBlack River Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811940331
PECOS PAC ID: 3173431178
Enrollment ID: O20040128000517
Entity NameUpland Hills Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821258740
PECOS PAC ID: 3072415553
Enrollment ID: O20081016000442

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 Benjamin Jelinek Boardman 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
Dr Benjamin Jelinek Boardman, MD
N6520 Guy Road,
Black River Falls, WI 54615

Ph: (715) 284-9851
Dr Benjamin Jelinek Boardman, MD
N6520 Guy Road,
Black River Falls, WI 54615

Ph: (715) 284-9851

Reviews and Comments


Family Medicine Doctors in Black River Falls, WI

Kirk Lane, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 W Adams St, Black River Falls, WI 54615
Phone: 715-284-4311    Fax: 715-284-2568
Delbert W Rogers, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 W Adams St, Black River Falls, WI 54615
Phone: 715-284-4311    Fax: 715-284-2568
Jeffrey K Polzin, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 610 W Adams St, Black River Falls, WI 54615
Phone: 715-284-4311    Fax: 715-284-2568
Dr. Sarah June Busse, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 W Adams St, Black River Falls, WI 54615
Phone: 715-284-4311    Fax: 715-284-2568
Carol A Martin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 711 W Adams St, Black River Falls, WI 54615
Phone: 715-284-5361    Fax: 715-284-1390
Neil Francis Cox, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615
Phone: 715-284-9851    Fax: 715-284-5150
Shelby M Nykiel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 W Adams St, Black River Falls, WI 54615
Phone: 715-284-4311    Fax: 608-755-7873

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.