Dr Sally A Booth, MD - Medicare Dermatology in Zionsville, IN

Dr Sally A Booth, MD is a medicare enrolled "Dermatology" physician in Zionsville, Indiana. She went to University Of Minnesota Medical School and graduated in 1990 and has 34 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Booth Dermatology Group, Pc and her current practice location is 12050 N Michigan Rd, Zionsville, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 848-2427.

Dr Sally A Booth is licensed to practice in Indiana (license number 01042816A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669452884.

Contact Information

Dr Sally A Booth, MD
12050 N Michigan Rd,
Zionsville, IN 46077-8782
(317) 848-2427
(317) 848-2434

Map and Direction




Physician's Profile

Full NameDr Sally A Booth
GenderFemale
SpecialityDermatology
Experience34 Years
Location12050 N Michigan Rd, Zionsville, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sally A Booth attended and graduated from University Of Minnesota Medical School in 1990
  NPI Data:
  • NPI Number: 1669452884
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 01/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0446289524
  • Enrollment ID: I20050809000616

Medical Identifiers

Medical identifiers for Dr Sally A Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669452884NPI-NPPES
000000375169OtherINANTHEM PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology ME142799 (Florida)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 01042816A (Indiana)Secondary
207NS0135XDermatology - Procedural Dermatology 01042816A (Indiana)Secondary
207N00000XDermatology 01042816A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Booth Dermatology Group, Pc28604265742

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 Sally A Booth allows following entities to bill medicare on her behalf.
Entity NameBooth Dermatology Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346220563
PECOS PAC ID: 2860426574
Enrollment ID: O20050922000261

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 Sally A Booth 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 Sally A Booth, MD
12050 N Michigan Rd,
Zionsville, IN 46077-8782

Ph: (317) 848-2427
Dr Sally A Booth, MD
12050 N Michigan Rd,
Zionsville, IN 46077-8782

Ph: (317) 848-2427

Reviews and Comments


Dermatology Doctors in Zionsville, IN

Dr. Nancy Lyon Havlik, MD, PHD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 55 Brendon Way, Suite 600, Zionsville, IN 46077
Phone: 317-733-7546    Fax: 317-733-4155
Dr. Christy Lee Waterman, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 12050 N Michigan Rd, Zionsville, IN 46077
Phone: 317-848-2427    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.