Dr Billy Boldon, DO in Greenwood, MS

Dr Billy Boldon, DO is a medicare enrolled "Pediatrics" physician in Greenwood, Mississippi. His current practice location is 1405 Strong Ave, Greenwood, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 459-7030.

Dr Billy Boldon is licensed to practice in Mississippi (license number 12903) 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 1790754000.

Contact Information

	Dr Billy Boldon, DO
	1405 Strong Ave, Greenwood, MS 38930-4035
	(662) 459-7030
	(662) 459-1104

Map and Direction

Physician's Profile

Full Name	Dr Billy Boldon
Gender	Male
Speciality	Pediatrics
Location	1405 Strong Ave, Greenwood, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790754000
Provider Enumeration Date: 03/17/2006
Last Update Date: 04/25/2008

Medicare PECOS Information:

PECOS PAC ID: 6507051992
Enrollment ID: I20101111000125

Medical Identifiers

Medical identifiers for Dr Billy Boldon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790754000	NPI	-	NPPES
00113949	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	12903 (Mississippi)	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 Billy Boldon allows following entities to bill medicare on his behalf.

Entity Name	State Of Mississippi-university Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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 Billy Boldon 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 Billy Boldon, DO Po Box 1410, Attn Clinic Administration, Greenwood, MS 38935-1410 Ph: (662) 459-1187	Dr Billy Boldon, DO 1405 Strong Ave, Greenwood, MS 38930-4035 Ph: (662) 459-7030

Reviews and Comments

Pediatrics Doctors in Greenwood, MS

Dr. Vivian Elizabeth 'lisa' Huddleston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Strong Ave, Greenwood, MS 38930 Phone: 662-459-7030
Dr. Claudine Stevens, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Strong Ave, Greenwood, MS 38930 Phone: 662-459-7030
Mrs. Karlee Kelly, FNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Strong Ave, Greenwood, MS 38930 Phone: 662-459-7030 Fax: 662-459-1104

Dr Billy Boldon, DO - Medicare Pediatrics in Greenwood, MS