Clara Marie Bosco, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Phoenix, Arizona. Her current practice location is
1111 E Mcdowell Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 839-2000.
Clara Marie Bosco is licensed to practice in * (Not Available) (license number ) 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 1578205456.
Physician's Profile
Full Name | Clara Marie Bosco |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1111 E Mcdowell Rd, Phoenix, Arizona |
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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: 1578205456
- Provider Enumeration Date: 04/11/2022
- Last Update Date: 04/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880074392
- Enrollment ID: I20220630000435
Medical Identifiers
Medical identifiers for Clara Marie Bosco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578205456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 0000000000 (Wisconsin) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Clara Marie Bosco 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 |
Clara Marie Bosco, MD 4231 Willow Brook Rd, De Pere, WI 54115-9232 Ph: (920) 857-0197 | Clara Marie Bosco, MD 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 Ph: (602) 839-2000 |
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