Dr Fred C Boboth, OD, PS in Grandview, WA - Medicare Optometrist Provider

Dr Fred C Boboth, OD, PS is a medicare enrolled "Optometrist" provider in Grandview, Washington. His current practice location is 403 N Euclid Rd, Grandview, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 882-2650.

Dr Fred C Boboth is licensed to practice in Washington (license number 1634TX) 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 1194879700.

Contact Information

	Dr Fred C Boboth, OD, PS
	403 N Euclid Rd, Grandview, WA 98930-9407
	(509) 882-2650
	(509) 882-4225

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Fred C Boboth
Gender	Male
Speciality	Optometrist
Location	403 N Euclid Rd, Grandview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194879700
Provider Enumeration Date: 01/22/2007
Last Update Date: 04/10/2013

Medicare PECOS Information:

PECOS PAC ID: 5597973941
Enrollment ID: I20110914000109

Medical Identifiers

Medical identifiers for Dr Fred C Boboth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194879700	NPI	-	NPPES
0317360001	Other	WA	DME REGION D SUPPLIER NO
G8902905	Other	WA	CHAMPUS ID NO REGION WEST
71549	Other	WA	LABOR AND INDUSTRIES
911936651	Other	WA	GROUP HEALTH NORTHWEST
BO4392	Other	WA	BLUE CROSS BLUE SHIELD NO
911936651	Other	WA	PREMERA BLUE CROSS
010062119	Other	WA	MEDICARE RAILROAD
2021554	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1634TX (Washington)	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. Dr Fred C Boboth allows following entities to bill medicare on his behalf.

Provider Name	Boboth Vision Clinic Wa Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699256008 PECOS PAC ID: 7517207756 Enrollment ID: O20190325002753

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 Fred C Boboth 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
Dr Fred C Boboth, OD, PS 403 N Euclid Rd, Grandview, WA 98930-9407 Ph: (509) 882-2650	Dr Fred C Boboth, OD, PS 403 N Euclid Rd, Grandview, WA 98930-9407 Ph: (509) 882-2650

Reviews and Comments

Optometrist in Grandview, WA

Fred C. Boboth O.d., P.s. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 403 N Euclid St, Grandview, WA 98930 Phone: 509-882-2650 Fax: 509-882-4225
Cole Boboth, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 403 N Euclid St, Grandview, WA 98930 Phone: 509-882-2650 Fax: 509-882-4225
Dana Spearin, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1023 W Wine Country Rd, Grandview, WA 98930 Phone: 509-882-2650
Boboth Vision Clinic Wa, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 403 N Euclid St, Grandview, WA 98930 Phone: 509-882-2650 Fax: 509-882-4225
Dr. Everett Boboth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 403 N Euclid St, Grandview, WA 98930 Phone: 509-882-2650 Fax: 509-882-4225

Dr Fred C Boboth, OD, PS - Medicare Optometrist in Grandview, WA