Kathie E Bollenbach, MMS, PA-C is a medicare enrolled "Physician Assistant" in Creswell, North Carolina. Her current practice location is
9500 Nc Highway 94 N, Creswell, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 209-0237.
Kathie E Bollenbach is licensed to practice in Wisconsin (license number 1233-023) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689677213.
Provider's Profile
Full Name | Kathie E Bollenbach |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 9500 Nc Highway 94 N, Creswell, North Carolina |
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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: 1689677213
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709770282
- Enrollment ID: I20140212000908
Medical Identifiers
Medical identifiers for Kathie E Bollenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689677213 | NPI | - | NPPES |
1851477913 | Other | WI | CMH NPI |
390848401050 | Other | WI | ANTHEM |
11014110 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 1233-023 (Wisconsin) | 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. Kathie E Bollenbach 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 |
Kathie E Bollenbach, MMS, PA-C Po Box 669, Ahoskie, NC 27910-0669 Ph: (252) 209-0237 | Kathie E Bollenbach, MMS, PA-C 9500 Nc Highway 94 N, Creswell, NC 27928-8300 Ph: (252) 209-0237 |
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