Carolyn M Booth, PA is a
Physician Assistant based in East Saint Louis, Illinois. Carolyn M Booth is licensed to practice in Illinois (license number ) and her current practice location is
6000 Bond Ave, East Saint Louis, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 332-2740.
NPI number for Carolyn M Booth is 1033275631 and her current mailing address is 6000 Bond Ave, East Saint Louis, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033275631.
Provider's Profile
Full Name | Carolyn M Booth |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 6000 Bond Ave, East Saint Louis, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033275631
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Carolyn M Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033275631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (Illinois) | 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. Carolyn M Booth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carolyn M Booth, PA 6000 Bond Ave, East Saint Louis, IL 62207-2328 Ph: (618) 332-2740 | Carolyn M Booth, PA 6000 Bond Ave, East Saint Louis, IL 62207-2328 Ph: (618) 332-2740 |
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