Dr Charles Mikell Bova, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in West Valley City, Utah. His current practice location is
3336 Pioneer Pkwy, Suite 204, West Valley City, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 964-3249.
Dr Charles Mikell Bova is licensed to practice in Utah (license number 185699) 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 1013071885.
Physician's Profile
Full Name | Dr Charles Mikell Bova |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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Location | 3336 Pioneer Pkwy, West Valley City, Utah |
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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: 1013071885
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2567411226
- Enrollment ID: I20090619000075
Medical Identifiers
Medical identifiers for Dr Charles Mikell Bova such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013071885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 185699 (Utah) | Primary |
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 Charles Mikell Bova 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 Charles Mikell Bova, MD 3065 Oak Rim Ln, Park City, UT 84060-6804 Ph: (435) 655-8648 | Dr Charles Mikell Bova, MD 3336 Pioneer Pkwy, Suite 204, West Valley City, UT 84120-2000 Ph: (801) 964-3249 |
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