Kylan Boehlke, CPNP-AC, MS, RN in Palo Alto, CA

Kylan Boehlke, CPNP-AC, MS, RN is a medicare enrolled "Nurse Practitioner" in Palo Alto, California. His current practice location is 725 Welch Rd, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at (650) 497-8000.

Kylan Boehlke is licensed to practice in California (license number 95012473) 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 1902447055.

Contact Information

	Kylan Boehlke, CPNP-AC, MS, RN
	725 Welch Rd, Palo Alto, CA 94304-1601
	(650) 497-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kylan Boehlke
Gender	Male
Speciality	Nurse Practitioner
Location	725 Welch Rd, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902447055
Provider Enumeration Date: 09/30/2019
Last Update Date: 07/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6608209374
Enrollment ID: I20191211000443

Medical Identifiers

Medical identifiers for Kylan Boehlke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902447055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95012473 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kylan Boehlke allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Kylan Boehlke 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
Kylan Boehlke, CPNP-AC, MS, RN 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000	Kylan Boehlke, CPNP-AC, MS, RN 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000

Reviews and Comments

Nurse Practitioner Nurses in Palo Alto, CA

Wendy Leigh Adams, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Lauren Genna Roos, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Mr. Christopher Gerard Gonzales, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3801 Miranda Ave, Emergency Department, Palo Alto, CA 94304 Phone: 650-493-5000
Sarah Davidson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 High St, Palo Alto, CA 94301 Phone: 415-663-5584
Erin Danielle Herse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Christian Laparan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2977
Theresa V Pittman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-321-4121

Kylan Boehlke, CPNP-AC, MS, RN - Medicare Nurse Practitioner in Palo Alto, CA