Charles E Boult, MD - Internal Medicine in Boise, ID

Charles E Boult, MD is a Internal Medicine - Geriatric Medicine physician based in Boise, Idaho. Charles E Boult is licensed to practice in Idaho (license number M-13173) and his current practice location is 5966 W Curtisian Ave, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 302-5400.

NPI number for Charles E Boult is 1962468025 and his current mailing address is 3340 E Goldstone Way, Meridian, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962468025.

Contact Information

Charles E Boult, MD
5966 W Curtisian Ave,
Boise, ID 83706
(208) 302-5400
(208) 302-5455



Physician's Profile

Full NameCharles E Boult
GenderMale
SpecialityInternal Medicine - Geriatric Medicine
Location5966 W Curtisian Ave, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962468025
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 05/23/2016

Medical Identifiers

Medical identifiers for Charles E Boult such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962468025NPI-NPPES
687003100MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine D57945 (Maryland)Secondary
207RG0300XInternal Medicine - Geriatric Medicine M-13173 (Idaho)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. Charles E Boult is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles E Boult, MD
3340 E Goldstone Way,
Meridian, ID 83642-1026

Ph: (208) 302-5400
Charles E Boult, MD
5966 W Curtisian Ave,
Boise, ID 83706

Ph: (208) 302-5400

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› Verified 9 days ago


Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 757-446-8920    Fax: 757-446-5242
Dr. James Robert Polk, MD
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3104    
Dr. Michael Frederic Krug, M.D.
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St, # 111, Boise, ID 83702
Phone: 208-422-1000    Fax: 208-422-1319
Derrel V Walker, M.D.
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 208-367-7350    Fax: 208-367-3951
Dr. Janat E. O'donnell, MD
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St., # 111, Boise, ID 83702
Phone: 208-422-1325    Fax: 208-422-1319
Carl L Durning, MD
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6094 W Emerald St, Boise, ID 83704
Phone: 208-367-6575    Fax: 208-367-6597
Dr. Christopher J Goulet, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286

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