John Boltri, MD - Medicare Family Practice in Rochester, MI

John Boltri, MD is a medicare enrolled "Family Medicine" physician in Rochester, Michigan. He went to Ohio State University College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Osup Community Outreach Llc and his current practice location is 1135 W University Dr, Ste 250, Rochester, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 650-6301.

John Boltri is licensed to practice in Michigan (license number 4301099774) 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 1730155128.

Contact Information

John Boltri, MD
1135 W University Dr, Ste 250,
Rochester, MI 48307-1871
(248) 650-6301
(248) 650-5486



Physician's Profile

Full NameJohn Boltri
GenderMale
SpecialityFamily Practice
Experience37 Years
Location1135 W University Dr, Rochester, Michigan
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:
  • John Boltri attended and graduated from Ohio State University College Of Medicine in 1987
  NPI Data:
  • NPI Number: 1730155128
  • Provider Enumeration Date: 02/24/2006
  • Last Update Date: 01/17/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6608063987
  • Enrollment ID: I20160812001955

Medical Identifiers

Medical identifiers for John Boltri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730155128NPI-NPPES
000502268FMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 035819 (Georgia)Secondary
207Q00000XFamily Medicine 4301099774 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osup Community Outreach Llc5799008082115

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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. John Boltri allows following entities to bill medicare on his behalf.
Entity NameSumma Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235167719
PECOS PAC ID: 2961303532
Enrollment ID: O20040116000295

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Entity NameOsup Community Outreach Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699179929
PECOS PAC ID: 5799008082
Enrollment ID: O20141217001070

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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. John Boltri 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
John Boltri, MD
1420 Stephenson Hwy, Suite 400 - Credentialing,
Troy, MI 48083-1189

Ph: (248) 581-5974
John Boltri, MD
1135 W University Dr, Ste 250,
Rochester, MI 48307-1871

Ph: (248) 650-6301

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› Verified 7 days ago


Family Medicine Doctors in Rochester, MI

Dr. Umesh G Gowda, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1101 W University Dr, Rochester, MI 48307
Phone: 248-651-1155    Fax: 248-651-8537
Jinping Xu, MD MS
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1135 W University Dr, Ste 250, Rochester, MI 48307
Phone: 248-650-6301    Fax: 248-650-5486
Eleanor King, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1101 W University Dr, 3-north, Rochester, MI 48307
Phone: 248-601-4900    
Kevin Florek, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1101 W University Dr, Rochester, MI 48307
Phone: 248-652-5813    Fax: 248-650-9160
Tsveti Petrova Markova, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1135 W University Dr, Suite 250, Rochester, MI 48307
Phone: 248-650-6301    Fax: 248-650-5486
Sheala Jafry, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1135 W University Dr, Suite 250, Rochester, MI 48307
Phone: 248-650-6301    Fax: 248-650-5486
John A Otremba, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1135 W University Dr, Suite 250, Rochester, MI 48307
Phone: 248-650-6301    Fax: 248-650-5486

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