Mr Michael Dahyl Boggan, MD - General Practice in Kingsport, TN

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Mr Michael Dahyl Boggan, MD is a General Practice physician based in Kingsport, Tennessee. Mr Michael Dahyl Boggan is licensed to practice in Tennessee (license number 21139) and his current practice location is 111 W Stone Dr, Suite 100, Kingsport, Tennessee. He can be reached at his office (for appointments etc.) via phone at (423) 247-5197.

NPI number for Mr Michael Dahyl Boggan is 1003844812 and his current mailing address is 111 W Stone Dr, Suite 100, Kingsport, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003844812.

Contact Information

Mr Michael Dahyl Boggan, MD
111 W Stone Dr, Suite 100,
Kingsport, TN 37660-6027
(423) 247-5197
(423) 247-5254

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Physician's Profile

Full NameMr Michael Dahyl Boggan
GenderMale
SpecialityGeneral Practice
Location111 W Stone Dr, Kingsport, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003844812
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 08/06/2012

Medical Identifiers

Medical identifiers for Mr Michael Dahyl Boggan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003844812NPI-NPPES
1000908MedicaidTN
3057903MedicaidTN
P00262488MedicaidKY
010199743MedicaidVA
621112685OtherTNUNITED HEALTH CARE
65906208MedicaidKY
Z101OtherTNUNITED HEALTHCARE OF THE RIVER VALLEY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 21139 (Tennessee)Primary
208D00000XGeneral Practice 0101246769 (Virginia)Secondary

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. Mr Michael Dahyl Boggan 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 AddressPractice Location Address
Mr Michael Dahyl Boggan, MD
111 W Stone Dr, Suite 100,
Kingsport, TN 37660-6027

Ph: (423) 245-5197		Mr Michael Dahyl Boggan, MD
111 W Stone Dr, Suite 100,
Kingsport, TN 37660-6027

Ph: (423) 247-5197

Reviews and Comments


General Practice Doctors in Kingsport, TN

Jonmichael Samsel, DO
General Practice
Medicare: Medicare Enrolled
Practice Location: 2300 W Stone Dr, Kingsport, TN 37660
Phone: 423-246-4961    Fax: 423-245-3136

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.