Boe L Bissett, PA-C is a medicare enrolled "Physician Assistant - Medical" in Delton, Michigan. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ascension Medical Group Promed and his current practice location is
11320 S M 43 Hwy, Delton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 623-5531.
Boe L Bissett is licensed to practice in Michigan (license number 5601006255) 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 1922379544.
Provider's Profile
Full Name | Boe L Bissett |
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Gender | Male |
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Speciality | Physician Assistant |
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Experience | 13 Years |
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Location | 11320 S M 43 Hwy, Delton, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Boe L Bissett graduated from nursing school in 2011
NPI Data:
- NPI Number: 1922379544
- Provider Enumeration Date: 01/13/2012
- Last Update Date: 01/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 0840455135
- Enrollment ID: I20120712000333
Medical Identifiers
Medical identifiers for Boe L Bissett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922379544 | NPI | - | NPPES |
5601006255 | Other | MI | STATE OF MICHIGAN LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 5601006255 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ascension Medical Group Promed | 7315856077 | 230 |
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. Boe L Bissett 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 |
Boe L Bissett, PA-C 11320 S. M 43 Hwy, Delton, MI 49046 Ph: (269) 623-5531 | Boe L Bissett, PA-C 11320 S M 43 Hwy, Delton, MI 49046-9415 Ph: (269) 623-5531 |
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