Dr James Russell Boehlke, MD is a 
Pediatrics physician based in U S A F Academy, Colorado. Dr James Russell Boehlke is licensed to practice in Colorado (license number 30377) and his current practice location is 4102 Pinion Dr, Suite 100, U S A F Academy, Colorado. He can be reached at his office (for appointments etc.) via phone at 
(719) 333-5200.
NPI number for Dr James Russell Boehlke is 1396797676 and his current mailing address is 5080 Champagne Dr, Colorado Springs, Colorado. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396797676.
			
			
			
			
			
		
		 
Physician's Profile
		
			
			
			| Full Name | Dr James Russell Boehlke | 
|---|
| Gender | Male | 
|---|
| Speciality | Pediatrics | 
|---|
| Location | 4102 Pinion Dr, U S A F Academy, Colorado | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1396797676
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 07/08/2007
 
		 
		 
Medical Identifiers
		Medical identifiers for Dr James Russell Boehlke such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1396797676 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 208000000X | Pediatrics | 30377 (Colorado) | 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 James Russell Boehlke is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Dr James Russell Boehlke, MD 5080 Champagne Dr,
 Colorado Springs, CO 80919-3165
 Ph: (719) 264-0996
 | Dr James Russell Boehlke, MD 4102 Pinion Dr, Suite 100,
 U S A F Academy, CO 80840-2502
 Ph: (719) 333-5200
 | 
		
		 
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