Dr Charles Mikell Bova, MD in West Valley City, UT - Medicare Physical Medicine & Rehabilitation

Dr Charles Mikell Bova, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in West Valley City, Utah. His current practice location is 3336 Pioneer Pkwy, Suite 204, West Valley City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 964-3249.

Dr Charles Mikell Bova is licensed to practice in Utah (license number 185699) 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 1013071885.

Contact Information

	Dr Charles Mikell Bova, MD
	3336 Pioneer Pkwy, Suite 204, West Valley City, UT 84120-2000
	(801) 964-3249
	Not Available

Physician's Profile

Full Name	Dr Charles Mikell Bova
Gender	Male
Speciality	Physical Medicine & Rehabilitation - Pain Medicine
Location	3336 Pioneer Pkwy, West Valley City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013071885
Provider Enumeration Date: 12/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567411226
Enrollment ID: I20090619000075

Medical Identifiers

Medical identifiers for Dr Charles Mikell Bova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013071885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081P2900X	Physical Medicine & Rehabilitation - Pain Medicine	185699 (Utah)	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 Charles Mikell Bova 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 Charles Mikell Bova, MD 3065 Oak Rim Ln, Park City, UT 84060-6804 Ph: (435) 655-8648	Dr Charles Mikell Bova, MD 3336 Pioneer Pkwy, Suite 204, West Valley City, UT 84120-2000 Ph: (801) 964-3249

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Dr Charles Mikell Bova, MD - Medicare Physical Medicine & Rehabilitation in West Valley City, UT