Kristina Poss Boccucci, PA is a medicare enrolled "Physician Assistant" physician in Watkinsville, Georgia. Her current practice location is
1305 Jennings Mill Rd Bldg 300-110, Watkinsville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 613-5880.
Kristina Poss Boccucci is licensed to practice in Georgia (license number 12550) 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 1740769132.
Physician's Profile
Full Name | Kristina Poss Boccucci |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1305 Jennings Mill Rd Bldg 300-110, Watkinsville, Georgia |
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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: 1740769132
- Provider Enumeration Date: 08/07/2018
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092240721
- Enrollment ID: I20241119000544
Medical Identifiers
Medical identifiers for Kristina Poss Boccucci such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740769132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 12550 (Georgia) | Secondary |
363A00000X | Physician Assistant | 12550 (Georgia) | 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. Kristina Poss Boccucci 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 |
Kristina Poss Boccucci, PA 4234 Waylon Dr, Martinez, GA 30907-1346 Ph: (404) 909-1220 | Kristina Poss Boccucci, PA 1305 Jennings Mill Rd Bldg 300-110, Watkinsville, GA 30677-7238 Ph: (706) 613-5880 |
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