Gerald Bossert, PA is a medicare enrolled "Family Medicine" in Payson, Arizona. His current practice location is
126 E Main St, Suite D, Payson, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 472-5260.
Gerald Bossert is licensed to practice in Arizona (license number 1897) 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 1700885308.
Provider's Profile
| Full Name | Gerald Bossert |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 126 E Main St, Payson, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700885308
- Provider Enumeration Date: 07/18/2005
- Last Update Date: 09/27/2007
Medicare PECOS Information:
- PECOS PAC ID: 0446286678
- Enrollment ID: I20241121002135
Medical Identifiers
Medical identifiers for Gerald Bossert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700885308 | NPI | - | NPPES |
| 347220 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1897 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | 1897 (Arizona) | 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. Gerald Bossert allows following entities to bill medicare on his behalf.
| Entity Name | Family Health Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609804392
PECOS PAC ID: 9739076217
Enrollment ID: O20040301000378 |
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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. Gerald Bossert 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 |
|---|
Gerald Bossert, PA
126 E Main St, Suite D,
Payson, AZ 85541-5488
Ph: (928) 472-5260 | Gerald Bossert, PA
126 E Main St, Suite D,
Payson, AZ 85541-5488
Ph: (928) 472-5260 |
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