DR. WILLIAM F BOHLEN DMD - NPI 1508170846 - Dentist in Greenville, SC

Q: What is William Bohlen's NPI number?

The NPI number for William Bohlen is 1508170846. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Q: What is William Bohlen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is William Bohlen enrolled in Medicare?

No. William Bohlen has opted out of Medicare through May 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for William Bohlen was last updated on July 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. William F Bohlen Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM F BOHLEN DMD (NPI 1508170846) is an individual periodontics provider in Greenville, South Carolina, licensed in South Carolina (6919) and active in the NPI registry since July 2010. He has opted out of Medicare through May 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508170846

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. WILLIAM F BOHLENCredential: DMD

Location Address1130 E BUTLER RDGreenville, SC 29607-5908

Mailing Address1130 E Butler RdGreenville, SC 29607-5908 · (864) 987-9700 · Fax (864) 987-0198

Phone(864) 987-9700

Fax(864) 987-0198

Sole ProprietorYes

Enumeration DateJuly 28, 2010

✔ NPI 1508170846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in SC · 6919

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1130 E BUTLER RD, Greenville, SC 29607

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. William F Bohlen Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2017 through May 9, 2027.

Opt-Out Effective DateMay 9, 2017

Opt-Out In Effect ThroughMay 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAVENEL PERIODONTICS, PA

Dentist (Periodontics)