Gerry Boccarossa, DO - Medicare Internal Medicine in Blountville, TN

Gerry Boccarossa, DO is a medicare enrolled "Internal Medicine" physician in Blountville, Tennessee. His current practice location is 412 Mountain View Ct, Blountville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 220-0650.

Gerry Boccarossa is licensed to practice in Tennessee (license number DO 1162) 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 1912901760.

Contact Information

Gerry Boccarossa, DO
412 Mountain View Ct,
Blountville, TN 37617-6252
(423) 220-0650
Not Available



Physician's Profile

Full NameGerry Boccarossa
GenderMale
SpecialityInternal Medicine
Location412 Mountain View Ct, Blountville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912901760
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 09/02/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6800795741
  • Enrollment ID: I20200602000832

Medical Identifiers

Medical identifiers for Gerry Boccarossa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912901760NPI-NPPES
3304613MedicaidTN
005830494MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine DO 1162 (Tennessee)Primary
207R00000XInternal Medicine 0102201244 (Virginia)Secondary

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. Gerry Boccarossa 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
Gerry Boccarossa, DO
412 Mountain View Ct,
Blountville, TN 37617-6252

Ph: (423) 220-0650
Gerry Boccarossa, DO
412 Mountain View Ct,
Blountville, TN 37617-6252

Ph: (423) 220-0650

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› Verified 6 days ago


Internal Medicine Doctors in Blountville, TN


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