Dr Bradley Allen Boehm, DO is a medicare enrolled "Urology" physician in Alpena, Michigan. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Urology. His current practice location is
1065 Us 23 North, Alpena, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 354-0607.
Dr Bradley Allen Boehm is licensed to practice in Michigan (license number BB012930) 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 1225092554.
Physician's Profile
| Full Name | Dr Bradley Allen Boehm |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 37 Years |
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| Location | 1065 Us 23 North, Alpena, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bradley Allen Boehm attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1987
NPI Data:
- NPI Number: 1225092554
- Provider Enumeration Date: 04/13/2006
- Last Update Date: 06/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 9537123716
- Enrollment ID: I20041207001097
Medical Identifiers
Medical identifiers for Dr Bradley Allen Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225092554 | NPI | - | NPPES |
| 3438729 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | BB012930 (Michigan) | Primary |
Medical Facilities Affiliation
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 Bradley Allen Boehm allows following entities to bill medicare on his behalf.
| Entity Name | Thunder Bay Clinic Management Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790746964
PECOS PAC ID: 7214119494
Enrollment ID: O20110309000390 |
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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. Dr Bradley Allen Boehm 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 Bradley Allen Boehm, DO
1065 Us 23 North,
Alpena, MI 49707
Ph: (989) 354-0607 | Dr Bradley Allen Boehm, DO
1065 Us 23 North,
Alpena, MI 49707
Ph: (989) 354-0607 |
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