Jason Peter Boulware, DO - Medicare Emergency Medicine in Bronx, NY

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Jason Peter Boulware, DO is a medicare enrolled "Emergency Medicine" physician in Bronx, New York. He graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Affinity Physicians Llc., Stationmd Professional Corporation, Stationmd Professional Corporation, Stationmd Professional Corporation and his current practice location is 2353 Hughes Ave, Apt 1a, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (646) 737-4364.

Jason Peter Boulware is licensed to practice in New York (license number 259532-1) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013211168.

Contact Information

Jason Peter Boulware, DO
2353 Hughes Ave, Apt 1a,
Bronx, NY 10458-8267
(646) 737-4364
Not Available

Map and Direction




Physician's Profile

Full NameJason Peter Boulware
GenderMale
SpecialityEmergency Medicine
Experience18 Years
Location2353 Hughes Ave, Bronx, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason Peter Boulware graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1013211168
  • Provider Enumeration Date: 01/04/2011
  • Last Update Date: 05/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8628236387
  • Enrollment ID: I20121024000165

Medical Identifiers

Medical identifiers for Jason Peter Boulware such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013211168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 25MB09297500 (New Jersey)Secondary
207P00000XEmergency Medicine 259532-1 (New York)Primary
207P00000XEmergency Medicine DO00706 (Rhode Island)Secondary
207P00000XEmergency Medicine 286222 (Massachusetts)Secondary
207P00000XEmergency Medicine 24237 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southcoast Hospitals GroupFall river, MAHospital
Kent County Memorial HospitalWarwick, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Affinity Physicians Llc.0244413391733
Stationmd Professional Corporation620418410463
Stationmd Professional Corporation620418410463
Stationmd Professional Corporation620418410463

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 Peter Boulware allows following entities to bill medicare on his behalf.
Entity NameSouthcoast Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336137629
PECOS PAC ID: 0749171957
Enrollment ID: O20050502000716
Entity NameEmergency Physician Associates Of New England Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427381052
PECOS PAC ID: 9931236395
Enrollment ID: O20100416000541
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053
Entity NameEmergency Associates Of Woonsocket Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912342528
PECOS PAC ID: 6002050648
Enrollment ID: O20130920000246
Entity NameEmergency Care Services Of New England Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639537335
PECOS PAC ID: 9739487562
Enrollment ID: O20160412001747

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 Peter Boulware 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
Jason Peter Boulware, DO
515 Valley St Ste 203,
Maplewood, NJ 07040-4300

Ph: (908) 663-2929		Jason Peter Boulware, DO
2353 Hughes Ave, Apt 1a,
Bronx, NY 10458-8267

Ph: (646) 737-4364

Reviews and Comments


Emergency Medicine Doctors in Bronx, NY

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Dr. Patrick Spencer Eiben, M.D.
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Nai Li, D.O.
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Practice Location: 4422 3rd Ave, Bronx, NY 10457
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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).

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.