Walter Mark Boomer, MD in Oklahoma City, OK - Medicare Pulmonary Disease

Walter Mark Boomer, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Oklahoma City, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1989 and has 37 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Creek Nation Hospital And Clinics, Warren Clinic Inc, Creek Nation Hospital And Clinics and his current practice location is 13313 N Meridian Ave Ste D, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 755-4290.

Walter Mark Boomer is licensed to practice in Oklahoma (license number 17300) 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 1578598074.

Contact Information

	Walter Mark Boomer, MD
	13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316
	(405) 755-4290
	(405) 755-7773

Map and Direction

Physician's Profile

Full Name	Walter Mark Boomer
Gender	Male
Speciality	Pulmonary Disease
Experience	37 Years
Location	13313 N Meridian Ave Ste D, Oklahoma City, Oklahoma
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:

Walter Mark Boomer attended and graduated from University Of Oklahoma College Of Medicine in 1989

NPI Data:

NPI Number: 1578598074
Provider Enumeration Date: 07/12/2006
Last Update Date: 01/14/2026

Medicare PECOS Information:

PECOS PAC ID: 8022045996
Enrollment ID: I20100430000047

Medical Identifiers

Medical identifiers for Walter Mark Boomer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578598074	NPI	-	NPPES
100090560A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	17300 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Hospital, Inc	Tulsa, OK	Hospital
Saint Francis Hospital Muskogee	Muskogee, OK	Hospital
Saint Francis Hospital South, Llc	Tulsa, OK	Hospital
Creek Nation Community Hospital	Okemah, OK	Hospital
Muscogee (creek) Nation Medical Center	Okmulgee, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Creek Nation Hospital And Clinics	5698786226	322
Warren Clinic Inc	8820900293	693
Creek Nation Hospital And Clinics	5698786226	322

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. Walter Mark Boomer allows following entities to bill medicare on his behalf.

Entity Name	Warren Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252

Entity Name	Creek Nation Hospital & Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130

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. Walter Mark Boomer 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
Walter Mark Boomer, MD Po Box 776084, Chicago, IL 60677-6084 Ph: (314) 364-4200	Walter Mark Boomer, MD 13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316 Ph: (405) 755-4290

Reviews and Comments

Internal Medicine Doctors in Oklahoma City, OK

Evelyn Lorents, MD Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963
Patrick Bronson Reeves, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112 Phone: 405-942-5442 Fax: 405-942-6448
Dr. Jake Lee Evans, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 Phone: 405-271-5963
Dr. Shawn Patel, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104 Phone: 405-271-5211
Metri Haddaden, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104 Phone: 405-271-6173 Fax: 410-554-2184
Divya Sharma Divyadarshini, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963
Dr. Philip Barton Miner, Jr., M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 Phone: 405-271-4644 Fax: 405-271-3296

Walter Mark Boomer, MD - Medicare Pulmonary Disease in Oklahoma City, OK