Mr Scott David Boruchov, MD in Glassboro, NJ - Medicare Diagnostic Radiology

Mr Scott David Boruchov, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Glassboro, New Jersey. He went to New York Medical College and graduated in 1994 and has 30 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Coney Island Medical Practice Plan, P.c., Eagle Butte Indian Health Service Hospital, Yampa Valley Medical Center, Fort Collins Radiologic Associates Pc and his current practice location is 43 Delsea Dr S Ste A, Glassboro, New Jersey. You can reach out to his office (for appointments etc.) via phone at (800) 916-6067.

Mr Scott David Boruchov is licensed to practice in New Jersey (license number 25MA07086700) 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 1891775755.

Contact Information

	Mr Scott David Boruchov, MD
	43 Delsea Dr S Ste A, Glassboro, NJ 08028-2620
	(800) 916-6067
	(800) 643-0747

Map and Direction

Physician's Profile

Full Name	Mr Scott David Boruchov
Gender	Male
Speciality	Diagnostic Radiology
Experience	30 Years
Location	43 Delsea Dr S Ste A, Glassboro, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Scott David Boruchov attended and graduated from New York Medical College in 1994

NPI Data:

NPI Number: 1891775755
Provider Enumeration Date: 01/18/2006
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3274523857
Enrollment ID: I20040514001260

Medical Identifiers

Medical identifiers for Mr Scott David Boruchov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891775755	NPI	-	NPPES
8266701	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	CDRH.0063910 (Colorado)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	25MA07086700 (New Jersey)	Primary
2085R0202X	Radiology - Diagnostic Radiology	CP006 (Nebraska)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	15411C (Wyoming)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medical Center Of The Rockies	Loveland, CO	Hospital
Poudre Valley Hospital	Fort collins, CO	Hospital
Longs Peak Hospital	Longmont, CO	Hospital
Uchealth Greeley Hospital	Greeley, CO	Hospital
Uchealth Yampa Valley Medical Center	Steamboat springs, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coney Island Medical Practice Plan, P.c.	5496944803	308
Eagle Butte Indian Health Service Hospital	7517852759	35
Yampa Valley Medical Center	5890685689	122
Fort Collins Radiologic Associates Pc	7315844396	55

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. Mr Scott David Boruchov allows following entities to bill medicare on his behalf.

Entity Name	Coney Island Medical Practice Plan, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660

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 Scott David Boruchov 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
Mr Scott David Boruchov, MD 43 Delsea Dr S Ste A, Glassboro, NJ 08028-2620 Ph: (800) 916-6067	Mr Scott David Boruchov, MD 43 Delsea Dr S Ste A, Glassboro, NJ 08028-2620 Ph: (800) 916-6067

Mr Scott David Boruchov, MD - Medicare Diagnostic Radiology in Glassboro, NJ