Patricia Boulogne, is a medicare enrolled "Chiropractor - Nutrition" provider in Quincy, Massachusetts. Her current practice location is
148 Quincy Shore Dr Apt 29, Quincy, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 901-0925.
Patricia Boulogne is licensed to practice in Massachusetts (license number 935) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861725715.
Healthcare Provider's Profile
Full Name | Patricia Boulogne |
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Gender | Female |
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Speciality | Chiropractor - Nutrition |
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Location | 148 Quincy Shore Dr Apt 29, Quincy, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861725715
- Provider Enumeration Date: 09/10/2009
- Last Update Date: 08/08/2012
Medicare PECOS Information:
- PECOS PAC ID: 2769834209
- Enrollment ID: I20240119002031
Medical Identifiers
Medical identifiers for Patricia Boulogne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861725715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
111NS0005X | Chiropractor - Sports Physician | 935 (Massachusetts) | Secondary |
111NN1001X | Chiropractor - Nutrition | 935 (Massachusetts) | Primary |
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. Patricia Boulogne 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 Address | Practice Location Address |
Patricia Boulogne, 148 Quincy Shore Dr Apt 29, Quincy, MA 02171-2930 Ph: () - | Patricia Boulogne, 148 Quincy Shore Dr Apt 29, Quincy, MA 02171-2930 Ph: (617) 901-0925 |
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