Ralph S Bovard, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in St. Paul, Minnesota. His current practice location is
205 S Wabasha St, Mail Stop 31300a Healthpartners St. Paul Clinic, St. Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 293-8100.
Ralph S Bovard is licensed to practice in Minnesota (license number 29313) 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 1194785279.
Physician's Profile
| Full Name | Ralph S Bovard |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 205 S Wabasha St, St. Paul, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194785279
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 06/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890834857
- Enrollment ID: I20091203000696
Medical Identifiers
Medical identifiers for Ralph S Bovard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194785279 | NPI | - | NPPES |
| 019275900 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 29313 (Minnesota) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 29313 (Minnesota) | 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. Ralph S Bovard allows following entities to bill medicare on his behalf.
| Entity Name | Park Nicollet Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
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| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
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| Entity Name | Tria Orthopaedic Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
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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. Ralph S Bovard 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 |
Ralph S Bovard, MD 205 Wabasha St S, Attn: Ralph Bovard Healthpartners, Saint Paul, MN 55107-1805 Ph: (651) 293-8100 | Ralph S Bovard, MD 205 S Wabasha St, Mail Stop 31300a Healthpartners St. Paul Clinic, St. Paul, MN 55107-1805 Ph: (651) 293-8100 |
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