Peter J Boosalis, MD in Stillwater, MN - Medicare Anesthesiology

Peter J Boosalis, MD is a medicare enrolled "Anesthesiology" physician in Stillwater, Minnesota. He went to University Of Minnesota Medical School and graduated in 1991 and has 33 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Dpi Of Georgia Llc and his current practice location is 927 Churchill St W, Stillwater, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 430-4585.

Peter J Boosalis is licensed to practice in Minnesota (license number 41145) 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 1174577316.

Contact Information

	Peter J Boosalis, MD
	927 Churchill St W, Stillwater, MN 55082-6605
	(651) 430-4585
	Not Available

Map and Direction

Physician's Profile

Full Name	Peter J Boosalis
Gender	Male
Speciality	Anesthesiology
Experience	33 Years
Location	927 Churchill St W, Stillwater, Minnesota
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:

Peter J Boosalis attended and graduated from University Of Minnesota Medical School in 1991

NPI Data:

NPI Number: 1174577316
Provider Enumeration Date: 05/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2264499151
Enrollment ID: I20231109001641

Medical Identifiers

Medical identifiers for Peter J Boosalis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174577316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	41145 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cartersville Medical Center	Cartersville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dpi Of Georgia Llc	0941546923	38

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. Peter J Boosalis allows following entities to bill medicare on his behalf.

Entity Name	Dpi Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407323199 PECOS PAC ID: 0941546923 Enrollment ID: O20190111001990

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. Peter J Boosalis 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
Peter J Boosalis, MD 14700 28th Ave N, Suite 20, Plymouth, MN 55447-4835 Ph: (763) 559-3779	Peter J Boosalis, MD 927 Churchill St W, Stillwater, MN 55082-6605 Ph: (651) 430-4585

Reviews and Comments

Anesthesiology Doctors in Stillwater, MN

Mark D Wojtowicz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 927 Churchill St W, Stillwater, MN 55082 Phone: 651-430-4585
Dr. Monte Norgaard, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12747 53rd St N, Stillwater, MN 55082 Phone: 651-351-7079

Peter J Boosalis, MD - Medicare Anesthesiology in Stillwater, MN