Trent Shakespear Boehm, DPM - Medicare Podiatrist in Weston, WI

Trent Shakespear Boehm, DPM is a medicare enrolled "Podiatrist" provider in Weston, Wisconsin. He went to Kent State University College Of Podiatric Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Family Foot And Ankle Clinic Llc and his current practice location is 5403 Normandy St, Weston, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 241-8100.

Trent Shakespear Boehm is licensed to practice in Wisconsin (license number 1200) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1871157099.

Contact Information

Trent Shakespear Boehm, DPM
5403 Normandy St,
Weston, WI 54476-2217
(715) 241-8100
(715) 241-8102



Healthcare Provider's Profile

Full NameTrent Shakespear Boehm
GenderMale
SpecialityPodiatry
Experience5 Years
Location5403 Normandy St, Weston, Wisconsin
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Trent Shakespear Boehm attended and graduated from Kent State University College Of Podiatric Medicine in 2019
  NPI Data:
  • NPI Number: 1871157099
  • Provider Enumeration Date: 04/23/2019
  • Last Update Date: 06/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8921486705
  • Enrollment ID: I20220607001879

Medical Identifiers

Medical identifiers for Trent Shakespear Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871157099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 1200 (Wisconsin)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Medical Center-waupacaWaupaca, WIHospital
Aspirus Wausau HospitalWausau, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Foot And Ankle Clinic Llc30725148766

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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. Trent Shakespear Boehm allows following entities to bill medicare on his behalf.
Provider NameFamily Foot And Ankle Clinic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1659439321
PECOS PAC ID: 3072514876
Enrollment ID: O20070122000484

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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. Trent Shakespear Boehm 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
Trent Shakespear Boehm, DPM
14 Pleasant Ave,
Trotwood, OH 45426-2835

Ph: (817) 528-3725
Trent Shakespear Boehm, DPM
5403 Normandy St,
Weston, WI 54476-2217

Ph: (715) 241-8100

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Podiatrist in Weston, WI

Dr. Joel J Tikalsky, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2405 Schofield Ave Ste 110, Weston, WI 54476
Phone: 715-241-8100    Fax: 715-241-8102
Mark W Thomas, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2405 Schofield Ave, Suite 110, Weston, WI 54476
Phone: 715-241-8100    Fax: 715-241-8102
Kerry S Dernbach, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 3501 Cranberry Blvd, Weston, WI 54476
Phone: 715-393-1000    
Family Foot And Ankle Clinic Llc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 5403 Normandy St, Weston, WI 54476
Phone: 715-241-8100    Fax: 715-241-8102

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