Kyle Boltson, in Port Saint Lucie, FL - Medicare Family Medicine

Kyle Boltson, is a medicare enrolled "Family Medicine" physician in Port Saint Lucie, Florida. His current practice location is 1700 Se Hillmoor Dr Ste 500, Port Saint Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 873-1770.

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,
	1700 Se Hillmoor Dr Ste 500, Port Saint Lucie, FL 34952-7536
	(772) 873-1770
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyle Boltson
Gender	Male
Speciality	Family Medicine
Location	1700 Se Hillmoor Dr Ste 500, Port Saint 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: 10/10/2025

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
207Q00000X	Family Medicine	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, 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: () -	Kyle Boltson, 1700 Se Hillmoor Dr Ste 500, Port Saint Lucie, FL 34952-7536 Ph: (772) 873-1770

Reviews and Comments

Family Medicine Doctors in Port Saint Lucie, FL

Dr. Bambi Petrinic, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 513 Nw Lake Whitney Pl, Port Saint Lucie, FL 34986 Phone: 772-344-7228 Fax: 772-344-7158
Bibiana Rocio Sandoval, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 10000 Sw Innovation Way, Port Saint Lucie, FL 34987 Phone: 772-345-8100
Joel Dorce Alexandre, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1362 Sw Bayshore Blvd, Port Saint Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215
Dr. Edward K Kankam, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 293 Nw Peacock Blvd Ste 101-104, Port Saint Lucie, FL 34986 Phone: 772-335-9600 Fax: 772-879-4478
Dr. Patrick Leung, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 290 Nw Peacock Blvd #880891, Port Saint Lucie, FL 34986 Phone: 816-398-8916
Dionne Layne Hinds, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr Ste C-106, Port Saint Lucie, FL 34952 Phone: 772-249-0636 Fax: 772-237-3114
Dr. Joseph Michael Wierzbicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9077 S Federal Hwy, Port Saint Lucie, FL 34952 Phone: 772-335-4770 Fax: 772-335-4133

Kyle Boltson, - Medicare Family Medicine in Port Saint Lucie, FL