Jason Henry Boulter, MD in Fort Sam Houston, TX - Medicare Neurological Surgery

Jason Henry Boulter, MD is a medicare enrolled "Neurological Surgery" physician in Fort Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-7500.

Jason Henry Boulter is licensed to practice in Texas (license number V8212) 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 1336672914.

Contact Information

	Jason Henry Boulter, MD
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 916-7500
	Not Available

Map and Direction

Physician's Profile

Full Name	Jason Henry Boulter
Gender	Male
Speciality	Neurological Surgery
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336672914
Provider Enumeration Date: 04/10/2017
Last Update Date: 07/01/2025

Medicare PECOS Information:

PECOS PAC ID: 7517406499
Enrollment ID: I20240822003403

Medical Identifiers

Medical identifiers for Jason Henry Boulter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336672914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	V8212 (Texas)	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. Jason Henry Boulter allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321

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. Jason Henry Boulter 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
Jason Henry Boulter, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: () -	Jason Henry Boulter, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-7500

Reviews and Comments

Neurological Surgery Doctors in Fort Sam Houston, TX

Dr. Jason Robert Hall, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Kenneth D Sack, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Ian S. Mcdougall, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Geoffrey William Peitz, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3482
Victor Sabourin, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Amy Kimberly Susan Sheldrake, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582

Jason Henry Boulter, MD - Medicare Neurological Surgery in Fort Sam Houston, TX