Mr John N Boll Jr, DO | |
740 High St, Suite 4001, Williamsport, PA 17701-3100 | |
(570) 321-2345 | |
(570) 321-2359 |
Full Name | Mr John N Boll Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 740 High St, Williamsport, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073516944 | NPI | - | NPPES |
64052707 | Medicaid | KY | |
1026698040001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | OS010395L (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | OS010395L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Williamsport Regional Medical Center | Williamsport, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Susquehanna Physician Services | 2264336460 | 483 |
Entity Name | Susquehanna Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205870904 PECOS PAC ID: 2264336460 Enrollment ID: O20040225000410 |
Mailing Address | Practice 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 |
Dr. Kathleen Claire Lewis, Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 Four Mile Dr, Williamsport, PA 17701 Phone: 570-327-1000 Fax: 570-323-6079 | |
Alexander Elli Nuique Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1205 River Avenue Fl 2, Williamsport, PA 17701 Phone: 570-326-4118 Fax: 570-326-5533 | |
Jeffrey Verzella, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 4001, Williamsport, PA 17701 Phone: 570-321-2345 | |
Courtney Leigh Goettel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 4001, Williamsport, PA 17701 Phone: 570-321-2345 | |
Lara Jaussi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7680 | |
Leeanna Lyne, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701 Phone: 570-320-7800 | |
Daniel R Conner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 |