Courtney N Bolluyt, PA-C is a medicare enrolled "Physician Assistant" in Spirit Lake, Iowa. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Dakota Dermatology At Spirit Lake Pc and her current practice location is
2700 23rd St Ste C, Spirit Lake, Iowa. You can reach out to her office (for appointments etc.) via phone at
(605) 330-9619.
Courtney N Bolluyt is licensed to practice in Iowa (license number 001337) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215982780.
Provider's Profile
| Full Name | Courtney N Bolluyt |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 24 Years |
|---|
| Location | 2700 23rd St Ste C, Spirit Lake, Iowa |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Courtney N Bolluyt graduated from nursing school in 2000
NPI Data:
- NPI Number: 1215982780
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 03/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224001011
- Enrollment ID: I20040819000067
Medical Identifiers
Medical identifiers for Courtney N Bolluyt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215982780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 001337 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dakota Dermatology At Spirit Lake Pc | 8022414432 | 4 |
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. Courtney N Bolluyt 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 |
|---|
Courtney N Bolluyt, PA-C
4950 S Minnesota Ave,
Sioux Falls, SD 57108-2708
Ph: (605) 330-9619 | Courtney N Bolluyt, PA-C
2700 23rd St Ste C,
Spirit Lake, IA 51360-1158
Ph: (605) 330-9619 |
Reviews and Comments