Mr John N Boll Jr, DO - Medicare Family Practice in Williamsport, PA

Mr John N Boll Jr, DO is a medicare enrolled "Family Medicine" physician in Williamsport, Pennsylvania. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Susquehanna Physician Services and his current practice location is 740 High St, Suite 4001, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 321-2345.

Mr John N Boll Jr is licensed to practice in Pennsylvania (license number OS010395L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073516944.

Contact Information

Mr John N Boll Jr, DO
740 High St, Suite 4001,
Williamsport, PA 17701-3100
(570) 321-2345
(570) 321-2359

Map and Direction




Physician's Profile

Full NameMr John N Boll Jr
GenderMale
SpecialityFamily Practice
Experience26 Years
Location740 High St, Williamsport, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr John N Boll Jr attended and graduated from Philadelphia College Of Osteopathic Medicine in 1998
  NPI Data:
  • NPI Number: 1073516944
  • Provider Enumeration Date: 05/24/2005
  • Last Update Date: 04/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719943489
  • Enrollment ID: I20120213000083

Medical Identifiers

Medical identifiers for Mr John N Boll Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073516944NPI-NPPES
64052707MedicaidKY
1026698040001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VX0000XObstetrics & Gynecology - Obstetrics OS010395L (Pennsylvania)Secondary
207Q00000XFamily Medicine OS010395L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Williamsport Regional Medical CenterWilliamsport, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Susquehanna Physician Services2264336460483

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr John N Boll Jr allows following entities to bill medicare on his behalf.
Entity NameSusquehanna Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205870904
PECOS PAC ID: 2264336460
Enrollment ID: O20040225000410

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. Mr John N Boll Jr 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 AddressPractice Location Address
Mr John N Boll Jr, DO
1201 Grampian Blvd,
Williamsport, PA 17701-1900

Ph: () -
Mr John N Boll Jr, DO
740 High St, Suite 4001,
Williamsport, PA 17701-3100

Ph: (570) 321-2345

Reviews and Comments


Family Medicine Doctors in Williamsport, PA

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.