Kyle Boltson, in Port St Lucie, FL - Medicare General Practice

Kyle Boltson, is a medicare enrolled "General Practice" physician in Port St Lucie, Florida. His current practice location is 2190 Se Sunflower St, Port St Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 703-7035.

Kyle Boltson is licensed to practice in Florida (license number OS20226) 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 1790363158.

Contact Information

	Kyle Boltson,
	2190 Se Sunflower St, Port St Lucie, FL 34952-4878
	(561) 703-7035
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyle Boltson
Gender	Male
Speciality	General Practice
Location	2190 Se Sunflower St, Port St Lucie, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790363158
Provider Enumeration Date: 03/29/2021
Last Update Date: 09/04/2025

Medicare PECOS Information:

PECOS PAC ID: 0042612269
Enrollment ID: I20240703000651

Medical Identifiers

Medical identifiers for Kyle Boltson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790363158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	OS20226 (Florida)	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. Kyle Boltson allows following entities to bill medicare on his behalf.

Entity Name	Patel Medical Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750887584 PECOS PAC ID: 9537414644 Enrollment ID: O20180613002173

Entity Name	Mg Primary Care Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992573893 PECOS PAC ID: 2163875030 Enrollment ID: O20240126001544

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. Kyle Boltson 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
Kyle Boltson, 2190 Se Sunflower St, Port St Lucie, FL 34952-4878 Ph: () -	Kyle Boltson, 2190 Se Sunflower St, Port St Lucie, FL 34952-4878 Ph: (561) 703-7035

Reviews and Comments

General Practice Doctors in Port St Lucie, FL

Regine Dorvil, MD General Practice Medicare: Medicare Enrolled Practice Location: 671 Se Port St Lucie Blvd, Port St Lucie, FL 34984 Phone: 772-353-5716 Fax: 844-367-0091
Debbie Michelle Sevilla, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL 34983 Phone: 772-905-2555 Fax: 772-336-8153
Dr. John R Collins, D.O, General Practice Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000
Brittany Nobilette, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000
Jorge Manuel Gomez Vizcarra, MD General Practice Medicare: Medicare Enrolled Practice Location: 1100 Sw Saint Lucie West Blvd Ste 209, Port St Lucie, FL 34986 Phone: 772-204-8889 Fax: 772-204-8895
Dr. Jacqueline Stephanie De La Cruz, MD General Practice Medicare: Medicare Enrolled Practice Location: 9109 S Us Highway 1 Ste 101, Port St Lucie, FL 34952 Phone: 772-398-1305 Fax: 772-398-1307
Dr. Chacko Nebu, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 7025 Oleander Ave, Port St Lucie, FL 34952 Phone: 609-744-4133 Fax: 772-882-5166

Kyle Boltson, - Medicare General Practice in Port St Lucie, FL