Jeffrey P Bolduan, MD - Medicare Urology in Goshen, IN

Jeffrey P Bolduan, MD is a medicare enrolled "Urology" physician in Goshen, Indiana. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Urology. He is a member of the group practice Goshen Health System Inc and his current practice location is 1615 Winsted Dr Ste 4, Goshen, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 533-8420.

Jeffrey P Bolduan is licensed to practice in Indiana (license number 01030767) 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 1831278027.

Contact Information

Jeffrey P Bolduan, MD
1615 Winsted Dr Ste 4,
Goshen, IN 46526-4673
(574) 533-8420
(574) 533-3909



Physician's Profile

Full NameJeffrey P Bolduan
GenderMale
SpecialityUrology
Experience49 Years
Location1615 Winsted Dr Ste 4, Goshen, Indiana
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:
  • Jeffrey P Bolduan graduated from medical school in 1975
  NPI Data:
  • NPI Number: 1831278027
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 04/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951473008
  • Enrollment ID: I20080707000164

Medical Identifiers

Medical identifiers for Jeffrey P Bolduan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831278027NPI-NPPES
100112510AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 01030767 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Goshen HospitalGoshen, INHospital
Kosciusko Community HospitalWarsaw, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Goshen Health System Inc4880598572132

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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. Jeffrey P Bolduan allows following entities to bill medicare on his behalf.
Entity NameGoshen Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194772293
PECOS PAC ID: 4880598572
Enrollment ID: O20031124000658

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Entity NameJeffrey P Bolduan Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538320577
PECOS PAC ID: 2668517020
Enrollment ID: O20100310000143

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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. Jeffrey P Bolduan 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
Jeffrey P Bolduan, MD
1615 Winsted Dr Ste 4,
Goshen, IN 46526-4673

Ph: (574) 533-8420
Jeffrey P Bolduan, MD
1615 Winsted Dr Ste 4,
Goshen, IN 46526-4673

Ph: (574) 533-8420

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Urology Doctors in Goshen, IN

Dr. Anthony R. Gauthier, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Winsted Dr Ste 4, Goshen, IN 46526
Phone: 574-533-8420    Fax: 574-534-5822

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