Collins Kwabena Boateng, PA-C is a medicare enrolled "Physician Assistant" in Lakeridge, Virginia. His current practice location is
2070 Old Bridge Rd Ste 103, Lakeridge, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 499-8787.
Collins Kwabena Boateng is licensed to practice in Virginia (license number 0110005729) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629502257.
Provider's Profile
| Full Name | Collins Kwabena Boateng |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 2070 Old Bridge Rd Ste 103, Lakeridge, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629502257
- Provider Enumeration Date: 04/20/2017
- Last Update Date: 05/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941571020
- Enrollment ID: I20170808001816
Medical Identifiers
Medical identifiers for Collins Kwabena Boateng such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629502257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 0110005729 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110005729 (Virginia) | 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. Collins Kwabena Boateng 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 |
|---|
Collins Kwabena Boateng, PA-C
2070 Old Bridge Rd Ste 103,
Lakeridge, VA 22192-2945
Ph: (703) 499-8787 | Collins Kwabena Boateng, PA-C
2070 Old Bridge Rd Ste 103,
Lakeridge, VA 22192-2945
Ph: (703) 499-8787 |
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