| Dr Michael Ted Boler Jr, DO | |
|
499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 | |
| (662) 620-6800 | |
| (662) 620-6950 |
| Full Name | Dr Michael Ted Boler Jr |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 14 Years |
| Location | 499 Gloster Creek Vlg Ste A2, Tupelo, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023305687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 23370 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Clay County Medical Corporation | West point, MS | Hospital |
| Webster General Hospital/ Swing Bed | Eupora, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Mississippi Clinics Llc | 3870773914 | 21 |
| Entity Name | Cardiology Associates Of North Ms Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902971492 PECOS PAC ID: 4688648595 Enrollment ID: O20040825000433 |
| Entity Name | North Mississippi Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326749540 PECOS PAC ID: 3870773914 Enrollment ID: O20110208000115 |
| Entity Name | North Mississippi Medical Center Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013202886 PECOS PAC ID: 6608048590 Enrollment ID: O20111019000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Ted Boler Jr, DO 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 Ph: (662) 620-6800 | Dr Michael Ted Boler Jr, DO 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 Ph: (662) 620-6800 |
Dr. Marcus Louis Britton, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1542 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-4711 | |
John O Phillips, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 589 Garfield St Ste 201, Tupelo, MS 38801 Phone: 662-680-5565 Fax: 662-680-5654 | |
Christy Tucker Oswalt, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 65 S Thomas St, Tupelo, MS 38801 Phone: 662-842-7870 Fax: 662-842-7873 | |
Vernon A Rayford, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930 | |
Dr. Frankie Edward Stanley, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 302 S Spring St, Tupelo, MS 38804 Phone: 662-205-0098 Fax: 662-495-4079 | |
Stephen T Amann, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 589 Garfield St Ste 201, Tupelo, MS 38801 Phone: 662-680-5565 |