Dr Craig Dean Boreman, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Bellbrook, Ohio. His current practice location is
3810 Polo Trace Ct, Bellbrook, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 768-5597.
Dr Craig Dean Boreman is licensed to practice in Ohio (license number 35077035) 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 1588659015.
Physician's Profile
| Full Name | Dr Craig Dean Boreman |
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| Gender | Male |
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| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
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| Location | 3810 Polo Trace Ct, Bellbrook, Ohio |
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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: 1588659015
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 05/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 4183869712
- Enrollment ID: I20191119003230
Medical Identifiers
Medical identifiers for Dr Craig Dean Boreman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588659015 | NPI | - | NPPES |
| 0109505 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 35077035 (Ohio) | Primary |
| 208000000X | Pediatrics | 35077035 (Ohio) | 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 Craig Dean Boreman allows following entities to bill medicare on his behalf.
| Entity Name | Dayton Childrens Specialty Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
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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 Craig Dean Boreman 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 Craig Dean Boreman, MD Po Box 99432, Cleveland, OH 44193-0039 Ph: (937) 641-3000 | Dr Craig Dean Boreman, MD 3810 Polo Trace Ct, Bellbrook, OH 45305-1889 Ph: (937) 768-5597 |
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