Anneli K Boller, DDS is a
Dentist - General Practice based in Farmington, Pennsylvania. Anneli K Boller is licensed to practice in Pennsylvania (license number DS-030926-L) and her current practice location is
103 New Meadow Run Dr, Farmington, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(845) 481-7014.
NPI number for Anneli K Boller is 1780661595 and her current mailing address is 103 New Meadow Run Dr, Farmington, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780661595.
Healthcare Provider's Profile
Full Name | Anneli K Boller |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 103 New Meadow Run Dr, Farmington, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780661595
- Provider Enumeration Date: 12/22/2005
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Anneli K Boller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780661595 | NPI | - | NPPES |
01892295 | Medicaid | NY | |
001778089 003 | Medicaid | PA | |
047677-1 | Other | NY | LICENSE |
DS-030926-L | Other | PA | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DS-030926-L (Pennsylvania) | 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. Anneli K Boller 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 |
Anneli K Boller, DDS 103 New Meadow Run Dr, Farmington, PA 15437-1391 Ph: (845) 481-7014 | Anneli K Boller, DDS 103 New Meadow Run Dr, Farmington, PA 15437-1391 Ph: (845) 481-7014 |
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