Wyatt James Boles, DO - Family Medicine in Provo, UT

Wyatt James Boles, DO is a Family Medicine physician based in Provo, Utah. Wyatt James Boles is licensed to practice in Utah (license number 7685502-1204) and his current practice location is 1055 N 500 W, Bldg A, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 812-5033.

NPI number for Wyatt James Boles is 1083190649 and his current mailing address is 1055 N 500 W, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083190649.

Contact Information

Wyatt James Boles, DO
1055 N 500 W, Bldg A,
Provo, UT 84604
(801) 812-5033
(801) 812-5034

Map and Direction




Physician's Profile

Full NameWyatt James Boles
GenderMale
SpecialityFamily Medicine
Location1055 N 500 W, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083190649
  • Provider Enumeration Date: 07/17/2018
  • Last Update Date: 09/18/2025

Medical Identifiers

Medical identifiers for Wyatt James Boles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083190649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 7685502-1204 (Utah)Primary

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. Wyatt James Boles is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wyatt James Boles, DO
1055 N 500 W,
Provo, UT 84604-3305

Ph: (801) 354-8225
Wyatt James Boles, DO
1055 N 500 W, Bldg A,
Provo, UT 84604

Ph: (801) 812-5033

Reviews and Comments


Family Medicine Doctors in Provo, UT

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Mr. Tyler Jason Fieldsted, DO
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Phone: 801-357-7926    Fax: 801-357-7927
Dr. Matthew Craig Evans, M.D.
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Practice Location: 1157 N 300 W, #201, Provo, UT 84604
Phone: 801-581-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.