Jacqueline Kalis Bohanko, PA-C - Physician Assistant in Cinnaminson, NJ

Jacqueline Kalis Bohanko, PA-C is a Physician Assistant - Medical based in Cinnaminson, New Jersey. Jacqueline Kalis Bohanko is licensed to practice in Pennsylvania (license number MA053571) and her current practice location is 2099 New Albany Rd, Cinnaminson, New Jersey. She can be reached at her office (for appointments etc.) via phone at (099) 268-8996.

NPI number for Jacqueline Kalis Bohanko is 1760631279 and her current mailing address is 2099 New Albany Rd, Cinnaminson, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760631279.

Contact Information

Jacqueline Kalis Bohanko, PA-C
2099 New Albany Rd,
Cinnaminson, NJ 08077-3534
(099) 268-8996
(856) 772-1997

Map and Direction




Provider's Profile

Full NameJacqueline Kalis Bohanko
GenderFemale
SpecialityPhysician Assistant - Medical
Location2099 New Albany Rd, Cinnaminson, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760631279
  • Provider Enumeration Date: 09/09/2008
  • Last Update Date: 09/17/2024

Medical Identifiers

Medical identifiers for Jacqueline Kalis Bohanko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760631279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00879200 (New Jersey)Secondary
363AM0700XPhysician Assistant - Medical MA053571 (Pennsylvania)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. Jacqueline Kalis Bohanko 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 AddressPractice Location Address
Jacqueline Kalis Bohanko, PA-C
2099 New Albany Rd,
Cinnaminson, NJ 08077-3534

Ph: (609) 926-8899
Jacqueline Kalis Bohanko, PA-C
2099 New Albany Rd,
Cinnaminson, NJ 08077-3534

Ph: (099) 268-8996

Reviews and Comments


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Nicholas Anzideo,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2099 New Albany Rd, Cinnaminson, NJ 08077
Phone: 609-926-8899    Fax: 856-772-1997

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.