Dr Avery B Boardman, OD is a medicare enrolled "Optometrist" provider in Wysox, Pennsylvania. He went to Pennsylvania College Of Optometry and graduated in 1991 and has 33 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Grady D. Gafford Md Pc and his current practice location is
889 Craftmaster Road, Wysox, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 265-3668.
Dr Avery B Boardman is licensed to practice in Pennsylvania (license number OEG000896) 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 1073603718.
Healthcare Provider's Profile
| Full Name | Dr Avery B Boardman |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 33 Years |
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| Location | 889 Craftmaster Road, Wysox, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Avery B Boardman attended and graduated from Pennsylvania College Of Optometry in 1991
NPI Data:
- NPI Number: 1073603718
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 03/23/2011
Medicare PECOS Information:
- PECOS PAC ID: 5092828905
- Enrollment ID: I20110602000181
Medical Identifiers
Medical identifiers for Dr Avery B Boardman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073603718 | NPI | - | NPPES |
| 0012690190004 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OEG000896 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grady D. Gafford Md Pc | 0042258048 | 5 |
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. Dr Avery B Boardman allows following entities to bill medicare on his behalf.
| Provider Name | Grady D. Gafford Md Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184635286
PECOS PAC ID: 0042258048
Enrollment ID: O20050420000869 |
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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. Dr Avery B Boardman 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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Dr Avery B Boardman, OD
889 Craftmaster Road, Po Box 331,
Wysox, PA 18854-0000
Ph: (570) 265-3668 | Dr Avery B Boardman, OD
889 Craftmaster Road,
Wysox, PA 18854-0000
Ph: (570) 265-3668 |
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