Carolynn Boatfield, is a
Student In An Organized Health Care Education/training Program based in North Chicago, Illinois. Carolynn Boatfield is licensed to practice in * (Not Available) (license number ) and her current practice location is
3333 Green Bay Rd, North Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 578-3000.
NPI number for Carolynn Boatfield is 1962252486 and her current mailing address is 3333 Green Bay Rd, North Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962252486.
Provider's Profile
| Full Name | Carolynn Boatfield |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3333 Green Bay Rd, North Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962252486
- Provider Enumeration Date: 03/26/2024
- Last Update Date: 06/25/2024
Medical Identifiers
Medical identifiers for Carolynn Boatfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962252486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Carolynn Boatfield 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 |
|---|
Carolynn Boatfield,
3333 Green Bay Rd,
North Chicago, IL 60064-3037
Ph: () - | Carolynn Boatfield,
3333 Green Bay Rd,
North Chicago, IL 60064-3037
Ph: (847) 578-3000 |
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