Dr Brandon Benjamin Boke, MD is a medicare enrolled "Emergency Medicine" physician in Spearfish, South Dakota. His current practice location is
1003 Woodland Dr, Spearfish, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(816) 520-4141.
Dr Brandon Benjamin Boke is licensed to practice in South Dakota (license number 5817) 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 1588609630.
Physician's Profile
| Full Name | Dr Brandon Benjamin Boke |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1003 Woodland Dr, Spearfish, South 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: 1588609630
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3779539820
- Enrollment ID: I20070711000979
Medical Identifiers
Medical identifiers for Dr Brandon Benjamin Boke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588609630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 5817 (South Dakota) | Primary |
| 207P00000X | Emergency Medicine | 2004030327 (Missouri) | Secondary |
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 Brandon Benjamin Boke allows following entities to bill medicare on his behalf.
| Entity Name | South Central Emergency Services, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
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| Entity Name | Oklahoma Emergency Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114239795 PECOS PAC ID: 3678757010 Enrollment ID: O20110411000211 |
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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 Brandon Benjamin Boke 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 Brandon Benjamin Boke, MD 1003 Woodland Dr, Spearfish, SD 57783-9578 Ph: (816) 520-4141 | Dr Brandon Benjamin Boke, MD 1003 Woodland Dr, Spearfish, SD 57783-9578 Ph: (816) 520-4141 |
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