John A Boullier, MD is a
Urology physician based in Bolivar, Missouri. John A Boullier is licensed to practice in Missouri (license number R2K10) and his current practice location is 1155 W Parkview, Suite 2c, Bolivar, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 326-2550.
NPI number for John A Boullier is 1841394459 and his current mailing address is 1500 N Oakland Ave, Bolivar, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841394459.
Physician's Profile
| Full Name | John A Boullier |
|---|
| Gender | Male |
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| Speciality | Urology |
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| Location | 1155 W Parkview, Bolivar, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841394459
- Provider Enumeration Date: 09/12/2006
- Last Update Date: 12/29/2016
Medical Identifiers
Medical identifiers for John A Boullier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841394459 | NPI | - | NPPES |
| P00477605 | Other | MO | PALMETTO GBA RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | R2K10 (Missouri) | Primary |
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. John A Boullier is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John A Boullier, MD
1500 N Oakland Ave,
Bolivar, MO 65613-3099
Ph: (417) 328-6501 | John A Boullier, MD
1155 W Parkview, Suite 2c,
Bolivar, MO 65613-7800
Ph: (417) 326-2550 |
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