Dr Brian Michael Boldt, DO - Medicare Diagnostic Radiology in Tacoma, WA

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Dr Brian Michael Boldt, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tacoma, Washington. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, Tra-minw P S, Union Avenue Open Mri Llc and his current practice location is Madigan Army Medical Ctr Department Of, 9040 Fitzsimmons Drive, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-5604.

Dr Brian Michael Boldt is licensed to practice in Washington (license number OP60104328) 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 1144480245.

Contact Information

Dr Brian Michael Boldt, DO
Madigan Army Medical Ctr Department Of, 9040 Fitzsimmons Drive,
Tacoma, WA 98431-0001
(253) 968-5604
Not Available

Map and Direction




Physician's Profile

Full NameDr Brian Michael Boldt
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
LocationMadigan Army Medical Ctr Department Of, Tacoma, Washington
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 Brian Michael Boldt graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1144480245
  • Provider Enumeration Date: 06/11/2008
  • Last Update Date: 03/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6608007091
  • Enrollment ID: I20171102001530

Medical Identifiers

Medical identifiers for Dr Brian Michael Boldt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144480245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology OP60104328 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tacoma General Allenmore HospitalTacoma, WAHospital
St Anthony HospitalGig harbor, WAHospital
St Joseph Medical CenterTacoma, WAHospital
Multicare Good Samaritan HospitalPuyallup, WAHospital
St Clare HospitalLakewood, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance337560397093
Tra-minw P S2163316167123
Union Avenue Open Mri Llc559765291738

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 Brian Michael Boldt allows following entities to bill medicare on his behalf.
Entity NameTra-minw P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396814166
PECOS PAC ID: 2163316167
Enrollment ID: O20040211000326
Entity NameUnion Avenue Open Mri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568531242
PECOS PAC ID: 5597652917
Enrollment ID: O20040301001189
Entity NameMedical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083802946
PECOS PAC ID: 3375603970
Enrollment ID: O20081126000315
Entity NameSheridan Radiology Services Of Pinellas Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083007454
PECOS PAC ID: 7517119407
Enrollment ID: O20180612001775
Entity NameRadiology Physician Solutions Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356767651
PECOS PAC ID: 3870716731
Enrollment ID: O20180612002594
Entity NameJupiter Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932156767
PECOS PAC ID: 5294629135
Enrollment ID: O20180614002166
Entity NameSheridan Radiology Services Of Central Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275997934
PECOS PAC ID: 4688762149
Enrollment ID: O20180710003753
Entity NameRadiology Physician Solutions Of West Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104205046
PECOS PAC ID: 3577876218
Enrollment ID: O20180806001629
Entity NameFlorida United Radiology Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619160538
PECOS PAC ID: 9537156757
Enrollment ID: O20181010001320

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 Brian Michael Boldt 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 Brian Michael Boldt, DO
4455 Logan Dr Ne,
Lacey, WA 98516-1351

Ph: (253) 210-0412		Dr Brian Michael Boldt, DO
Madigan Army Medical Ctr Department Of, 9040 Fitzsimmons Drive,
Tacoma, WA 98431-0001

Ph: (253) 968-5604

Reviews and Comments


Radiology Doctors in Tacoma, WA

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Dr. Jana Lynn Fahmy, MD
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Dr. Scott Randall Henneman, MD
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Dr. Mark Gerard O'callaghan, M.D.
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Peter Alan Ory, M.D.
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Phone: 253-680-3372    Fax: 253-383-3553

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.

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