Dr Kevin Boubouleix, - Medicare Emergency Medicine in Chicago, IL

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Dr Kevin Boubouleix, is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. His current practice location is 1969 W Ogden Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 864-6000.

Dr Kevin Boubouleix is licensed to practice in Illinois (license number 125074524) 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 1013578475.

Contact Information

Dr Kevin Boubouleix,
1969 W Ogden Ave,
Chicago, IL 60612-3765
(312) 864-6000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kevin Boubouleix
GenderMale
SpecialityEmergency Medicine
Location1969 W Ogden Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013578475
  • Provider Enumeration Date: 06/26/2019
  • Last Update Date: 06/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7012384571
  • Enrollment ID: I20221114000754

Medical Identifiers

Medical identifiers for Dr Kevin Boubouleix such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013578475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125074524 (Illinois)Primary

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 Kevin Boubouleix allows following entities to bill medicare on his behalf.
Entity NameApp Of Indiana Ed, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740822212
PECOS PAC ID: 2961835400
Enrollment ID: O20191213001639
Entity NameClarksville Emergency Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023487154
PECOS PAC ID: 6507277423
Enrollment ID: O20201125002335

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 Kevin Boubouleix 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 Kevin Boubouleix,
2108 N Winchester Ave # 3,
Chicago, IL 60614-3915

Ph: (847) 542-2688		Dr Kevin Boubouleix,
1969 W Ogden Ave,
Chicago, IL 60612-3765

Ph: (312) 864-6000

Reviews and Comments


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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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