Alyssa Marie Boland, PNP - Medicare Nurse Practitioner in Syracuse, NY

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Alyssa Marie Boland, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Syracuse, New York. Her current practice location is 725 Irving Ave Ste 504, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 464-8444.

Alyssa Marie Boland is licensed to practice in New York (license number 383574) 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 1558138859.

Contact Information

Alyssa Marie Boland, PNP
725 Irving Ave Ste 504,
Syracuse, NY 13210-1683
(315) 464-8444
(315) 464-8445

Map and Direction




Provider's Profile

Full NameAlyssa Marie Boland
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location725 Irving Ave Ste 504, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558138859
  • Provider Enumeration Date: 12/06/2023
  • Last Update Date: 12/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284077066
  • Enrollment ID: I20240208002188

Medical Identifiers

Medical identifiers for Alyssa Marie Boland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558138859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 383574 (New York)Primary

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. Alyssa Marie Boland allows following entities to bill medicare on her behalf.
Entity NamePediatric Service Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770539066
PECOS PAC ID: 9931007200
Enrollment ID: O20031223000483

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. Alyssa Marie Boland 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
Alyssa Marie Boland, PNP
725 Irving Ave Ste 504,
Syracuse, NY 13210-1683

Ph: (315) 464-8444		Alyssa Marie Boland, PNP
725 Irving Ave Ste 504,
Syracuse, NY 13210-1683

Ph: (315) 464-8444

Reviews and Comments


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Phone: 315-464-5210    Fax: 315-464-2141
Irene S Borja, FNP-BC
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Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-470-7111    
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Phone: 315-464-1800    Fax: 315-464-6238
Michele Rene Mcdonald, NP
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Nicole Marie Voudren, FNP-C
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Practice Location: 750 E Adams St, Syracuse, NY 13210
Phone: 315-254-6914    Fax: 315-464-8524
Mary Jean Thomas, FNP
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Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-470-7111    
Frances I Swiecki, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202
Phone: 315-464-9335    Fax: 315-464-9338

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.