Jacob Dalton Boehm, PA-C - Medicare Physician Assistant in St Charles, IL

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Jacob Dalton Boehm, PA-C is a medicare enrolled "Physician Assistant" in St Charles, Illinois. His current practice location is 409 Illinois Ave Unit 1d, St Charles, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 974-6602.

Jacob Dalton Boehm is licensed to practice in Illinois (license number 085.007272) 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 1932741717.

Contact Information

Jacob Dalton Boehm, PA-C
409 Illinois Ave Unit 1d,
St Charles, IL 60174-2966
(630) 974-6602
(630) 487-2411

Map and Direction




Provider's Profile

Full NameJacob Dalton Boehm
GenderMale
SpecialityPhysician Assistant
Location409 Illinois Ave Unit 1d, St Charles, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932741717
  • Provider Enumeration Date: 10/12/2019
  • Last Update Date: 11/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769815224
  • Enrollment ID: I20240611000725

Medical Identifiers

Medical identifiers for Jacob Dalton Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932741717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Illinois)Secondary
363AM0700XPhysician Assistant - Medical 085.007272 (Illinois)Secondary
363A00000XPhysician Assistant 085.007272 (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. Jacob Dalton Boehm 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 AddressPractice Location Address
Jacob Dalton Boehm, PA-C
1100 Jorie Blvd Ste 300,
Oak Brook, IL 60523-2219

Ph: (630) 974-6602		Jacob Dalton Boehm, PA-C
409 Illinois Ave Unit 1d,
St Charles, IL 60174-2966

Ph: (630) 974-6602

Reviews and Comments


Physician Assistant Nurses in St Charles, IL

Miss Jenna Elyse Eisses, PA-C
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Practice Location: 2900 Foxfield Rd Ste 100, St Charles, IL 60174
Phone: 630-938-6000    Fax: 630-377-6577
Miranda Leigh Ulaszek, PA-C
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Phone: 630-377-6500    Fax: 630-377-6577
Katherine Cooley, PA-C
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Practice Location: 2000 W Main St Ste M, St Charles, IL 60174
Phone: 630-584-9242    
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Medicare: Accepting Medicare Assignments
Practice Location: 2570 Foxfield Rd, Ste 100, St Charles, IL 60174
Phone: 630-584-1950    Fax: 630-584-8994
Maryann Sheluga, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 2900 Foxfield Rd Ste 100, St Charles, IL 60174
Phone: 630-377-6500    Fax: 630-377-6577
Debra Smalley, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2900 Foxfield Rd Ste 100, St Charles, IL 60174
Phone: 630-377-6500    Fax: 630-377-6577
Brooke N Johnson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Foxfield Rd Ste 100, St Charles, IL 60174
Phone: 630-377-6500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.