Sarah York Boostrom, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Dallas, Texas. She went to University Of Texas Medical School At San Antonio and graduated in 2006 and has 18 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Healthtexas Provider Network and her current practice location is
3410 Worth St, Suite 235, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 820-8768.
Sarah York Boostrom is licensed to practice in Minnesota (license number 49678) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336269018.
Physician's Profile
| Full Name | Sarah York Boostrom |
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| Gender | Female |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 18 Years |
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| Location | 3410 Worth St, Dallas, Texas |
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| Accepts Medicare Assignments | Yes. She 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:
- Sarah York Boostrom attended and graduated from University Of Texas Medical School At San Antonio in 2006
NPI Data:
- NPI Number: 1336269018
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 05/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 3971695982
- Enrollment ID: I20131210001797
Medical Identifiers
Medical identifiers for Sarah York Boostrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336269018 | NPI | - | NPPES |
| 3293961-01 | Medicaid | TX | |
| 450007000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 49678 (Minnesota) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 49678 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Healthtexas Provider Network | 1355254210 | 1810 |
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. Sarah York Boostrom allows following entities to bill medicare on her behalf.
| Entity Name | Healthtexas Provider Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187 |
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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. Sarah York Boostrom 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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Sarah York Boostrom, MD
3410 Worth St, Suite 235,
Dallas, TX 75246-2003
Ph: (214) 820-8768 | Sarah York Boostrom, MD
3410 Worth St, Suite 235,
Dallas, TX 75246-2003
Ph: (214) 820-8768 |
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