Dr Michelle Allison Boston, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Tampa, Florida. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Baycare Medical Group, Inc. and her current practice location is
13000 Bruce B Downs Blvd, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 972-2000.
Dr Michelle Allison Boston is licensed to practice in Florida (license number PY12060) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457109902.
Healthcare Provider's Profile
| Full Name | Dr Michelle Allison Boston |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 3 Years |
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| Location | 13000 Bruce B Downs Blvd, Tampa, Florida |
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| Accepts Medicare Assignments | Yes. She 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 Michelle Allison Boston graduated from medical school in 2022
NPI Data:
- NPI Number: 1457109902
- Provider Enumeration Date: 05/09/2024
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688114044
- Enrollment ID: I20240911004676
Medical Identifiers
Medical identifiers for Dr Michelle Allison Boston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457109902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PY12060 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY12060 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Baycare Medical Group, Inc. | 6406753623 | 1356 |
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 Michelle Allison Boston allows following entities to bill medicare on her behalf.
| Entity Name | Baycare Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043269871
PECOS PAC ID: 6406753623
Enrollment ID: O20031216000718 |
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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 Michelle Allison Boston 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 Michelle Allison Boston, PHD
2995 Drew St Fl 2,
Clearwater, FL 33759-3012
Ph: (727) 315-7496 | Dr Michelle Allison Boston, PHD
13000 Bruce B Downs Blvd,
Tampa, FL 33612-4745
Ph: (813) 972-2000 |
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