Dr Julie Elaine Boulos, DDS in San Diego, CA - Medicare Dentist Provider

Dr Julie Elaine Boulos, DDS is a medicare enrolled "Dentist - General Practice" provider in San Diego, California. Her current practice location is 2180 Garnet Ave Ste 1k, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 270-4904.

Dr Julie Elaine Boulos is licensed to practice in California (license number 59287) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144452855.

Contact Information

	Dr Julie Elaine Boulos, DDS
	2180 Garnet Ave Ste 1k, San Diego, CA 92109-3674
	(858) 270-4904
	(858) 270-4275

Healthcare Provider's Profile

Full Name	Dr Julie Elaine Boulos
Gender	Female
Speciality	Dentist - General Practice
Location	2180 Garnet Ave Ste 1k, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144452855
Provider Enumeration Date: 08/13/2009
Last Update Date: 01/17/2011

Medicare PECOS Information:

PECOS PAC ID: 0143500231
Enrollment ID: I20161207000683

Medical Identifiers

Medical identifiers for Dr Julie Elaine Boulos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144452855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	59287 (California)	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. Dr Julie Elaine Boulos 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 Julie Elaine Boulos, DDS 2180 Garnet Ave Ste 1k, San Diego, CA 92109-3674 Ph: (858) 270-4904	Dr Julie Elaine Boulos, DDS 2180 Garnet Ave Ste 1k, San Diego, CA 92109-3674 Ph: (858) 270-4904

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Dr Julie Elaine Boulos, DDS - Medicare Dentist in San Diego, CA