Daniel P Boll, PA-C is a medicare enrolled "Emergency Medicine" in Brainerd, Minnesota. His current practice location is
2024 S 6th St, Brainerd, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 828-7100.
Daniel P Boll is licensed to practice in Minnesota (license number 10494) 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 1225289689.
Provider's Profile
Full Name | Daniel P Boll |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 2024 S 6th St, Brainerd, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225289689
- Provider Enumeration Date: 10/03/2008
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254491269
- Enrollment ID: I20081120000761
Medical Identifiers
Medical identifiers for Daniel P Boll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225289689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 10494 (Minnesota) | Secondary |
207P00000X | Emergency Medicine | 10494 (Minnesota) | 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. Daniel P Boll 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 |
Daniel P Boll, PA-C 111 17th Ave E, Alexandria, MN 56308-5273 Ph: (320) 762-1511 | Daniel P Boll, PA-C 2024 S 6th St, Brainerd, MN 56401-3054 Ph: (218) 828-7100 |
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