Walter Mark Boomer, MD in Tulsa, OK - Medicare Pulmonary Disease

Walter Mark Boomer, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Tulsa, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1989 and has 35 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 2832 E 101st St, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 771-4455.

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
	2832 E 101st St, Tulsa, OK 74137-5601
	(918) 771-4455
	(918) 771-4447

Map and Direction

Physician's Profile

Full Name	Walter Mark Boomer
Gender	Male
Speciality	Pulmonary Disease
Experience	35 Years
Location	2832 E 101st St, Tulsa, 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: 10/28/2021

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 South, Llc	Tulsa, OK	Hospital
Creek Nation Community Hospital	Okemah, OK	Hospital
Saint Francis Hospital Muskogee	Muskogee, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Creek Nation Hospital And Clinics	5698786226	265
Warren Clinic Inc	8820900293	604
Creek Nation Hospital And Clinics	5698786226	265

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	Pulmonary Medicine Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295760791 PECOS PAC ID: 8527095496 Enrollment ID: O20050721000949

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 3478, Dept A, Tulsa, OK 74101-3478 Ph: (918) 494-9288	Walter Mark Boomer, MD 2832 E 101st St, Tulsa, OK 74137-5601 Ph: (918) 771-4455

Reviews and Comments

Internal Medicine Doctors in Tulsa, OK

Sarah Anne Shaw-dressler, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578
Julia Margaret Kwon, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539
Peter Madden, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400
Thao Tran, D.O Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4502 E. 41st Street, Tulsa, OK 74135 Phone: 918-619-4400
Robert Peter Aran, D.O. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136 Phone: 918-497-3300 Fax: 918-497-3365
Robert Dean Okada, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136 Phone: 918-494-5300 Fax: 918-494-5455
Dr. Charles Wade Taylor, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200 Fax: 918-505-3253

Walter Mark Boomer, MD - Medicare Pulmonary Disease in Tulsa, OK