Elliott James Bosak, is a
Behavior Technician based in Burnsville, Minnesota. Elliott James Bosak is licensed to practice in * (Not Available) (license number ) and his current practice location is
427 West Travelers Trail, Burnsville Mn, 55337, 427 West Travelers Trail, Burnsville Mn, 55337, Burnsville, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(952) 247-2954.
NPI number for Elliott James Bosak is 1033870696 and his current mailing address is 427 West Travelers Trail, Burnsville Mn, 55337, 427 West Travelers Trail, Burnsville Mn, 55337, Burnsville, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033870696.
Healthcare Provider's Profile
| Full Name | Elliott James Bosak |
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| Gender | Male |
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| Speciality | Behavior Technician |
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| Location | 427 West Travelers Trail, Burnsville Mn, 55337, Burnsville, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033870696
- Provider Enumeration Date: 01/06/2022
- Last Update Date: 09/15/2022
Medical Identifiers
Medical identifiers for Elliott James Bosak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033870696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | 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. Elliott James Bosak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elliott James Bosak,
427 West Travelers Trail, Burnsville Mn, 55337, 427 West Travelers Trail, Burnsville Mn, 55337,
Burnsville, MN 55337
Ph: (952) 247-2954 | Elliott James Bosak,
427 West Travelers Trail, Burnsville Mn, 55337, 427 West Travelers Trail, Burnsville Mn, 55337,
Burnsville, MN 55337
Ph: (952) 247-2954 |
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