Patrick Lynn Boler, MD is a medicare enrolled "Dermatology" physician in Clinton, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Magnolia Dermatology, Pllc and his current practice location is
815 Highway 80 E, Clinton, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 910-3004.
Patrick Lynn Boler is licensed to practice in Mississippi (license number 24316) 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 1225390719.
Physician's Profile
| Full Name | Patrick Lynn Boler |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 12 Years |
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| Location | 815 Highway 80 E, Clinton, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Patrick Lynn Boler attended and graduated from University Of Mississippi School Of Medicine in 2012
NPI Data:
- NPI Number: 1225390719
- Provider Enumeration Date: 06/12/2012
- Last Update Date: 07/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 6204091788
- Enrollment ID: I20160926000422
Medical Identifiers
Medical identifiers for Patrick Lynn Boler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225390719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | LL34725 (South Carolina) | Secondary |
| 207N00000X | Dermatology | PGY..202111 (Louisiana) | Secondary |
| 207N00000X | Dermatology | 24316 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Magnolia Dermatology, Pllc | 0749576031 | 6 |
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. Patrick Lynn Boler allows following entities to bill medicare on his behalf.
| Entity Name | Magnolia Dermatology, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841645470
PECOS PAC ID: 0749576031
Enrollment ID: O20160913001804 |
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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. Patrick Lynn Boler 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 |
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Patrick Lynn Boler, MD
815 Highway 80 E,
Clinton, MS 39056-5252
Ph: (601) 910-3004 | Patrick Lynn Boler, MD
815 Highway 80 E,
Clinton, MS 39056-5252
Ph: (601) 910-3004 |
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