Dr Jonathan Peter Boltax, MD - Medicare Pulmonary Disease in Jackson, WY

Dr Jonathan Peter Boltax, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Jackson, Wyoming. He went to Temple University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice University Of Utah Adult Services, Teton County Hospital District and his current practice location is 555 E Broadway Ave Ste 220, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 739-7305.

Dr Jonathan Peter Boltax is licensed to practice in Wyoming (license number 9935A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629023692.

Contact Information

Dr Jonathan Peter Boltax, MD
555 E Broadway Ave Ste 220,
Jackson, WY 83001-8640
(307) 739-7305
(307) 739-4960



Physician's Profile

Full NameDr Jonathan Peter Boltax
GenderMale
SpecialityPulmonary Disease
Experience22 Years
Location555 E Broadway Ave Ste 220, Jackson, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jonathan Peter Boltax attended and graduated from Temple University School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1629023692
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 01/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3577504695
  • Enrollment ID: I20050519000283

Medical Identifiers

Medical identifiers for Dr Jonathan Peter Boltax such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629023692NPI-NPPES
121002500MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 9935A (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Utah Hospitals And ClinicsSalt lake city, UTHospital
St Johns Medical CenterJackson, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Utah Adult Services09415252731459
Teton County Hospital District4880582295109

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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 Jonathan Peter Boltax allows following entities to bill medicare on his behalf.
Entity NamePhysician Group Of Utah Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477676930
PECOS PAC ID: 8022032234
Enrollment ID: O20060113000886

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Entity NameUniversity Of Utah Acuity Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407250541
PECOS PAC ID: 4789908534
Enrollment ID: O20150127000392

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Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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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 Jonathan Peter Boltax 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 AddressPractice Location Address
Dr Jonathan Peter Boltax, MD
Po Box 428,
Jackson, WY 83001-0428

Ph: (307) 739-7305
Dr Jonathan Peter Boltax, MD
555 E Broadway Ave Ste 220,
Jackson, WY 83001-8640

Ph: (307) 739-7305

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Internal Medicine Doctors in Jackson, WY

Mrs. Blythe Elizabeth Cox, PA C
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 555 E Broadway, Suite 229, Jackson, WY 83001
Phone: 307-732-1039    Fax: 307-732-1041
Michael Abram Tenofsky, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 625 E Broadway Ave, Jackson, WY 83001
Phone: 307-733-3636    Fax: 888-329-5701
Dr. Cynthia L Archer, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1335 Arena Rd Unit 1, Jackson, WY 83001
Phone: 602-697-7790    Fax: 602-697-7790
Dr. Martha Gene Stearn, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 555 E Broadway Ave Ste 207, Jackson, WY 83001
Phone: 307-733-8002    
Mark Matthew Neimat, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 625 E Broadway Ave, Jackson, WY 83001
Phone: 307-733-3636    Fax: 888-329-5701
Anna Bramley Catino, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 555 E Broadway Ave Ste 229, Jackson, WY 83001
Phone: 307-739-7690    Fax: 307-739-4960
William Mullen, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 555 E Broadway Ave Ste 229, Jackson, WY 83001
Phone: 307-739-7690    Fax: 307-739-4960

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