Ms Kristin M Boltz, ARNP is a medicare enrolled "Nurse Practitioner - Family" in White Cloud, Kansas. Her current practice location is
3313b Thrasher Rd, White Cloud, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 585-3450.
Ms Kristin M Boltz is licensed to practice in Kansas (license number 53-45497-031) 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 1134182421.
Provider's Profile
| Full Name | Ms Kristin M Boltz |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 3313b Thrasher Rd, White Cloud, Kansas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1134182421
- Provider Enumeration Date: 04/09/2006
- Last Update Date: 09/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204801020
- Enrollment ID: I20150127001976
Medical Identifiers
Medical identifiers for Ms Kristin M Boltz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134182421 | NPI | - | NPPES |
| 161582 | Other | KS | BLUE CROSS BLUE SHIELD |
| 200306850B | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 53-45497-031 (Kansas) | 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. Ms Kristin M Boltz allows following entities to bill medicare on her behalf.
| Entity Name | White Cloud Health Station |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1538199724
PECOS PAC ID: 4880694694
Enrollment ID: O20061229000309 |
|---|
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. Ms Kristin M Boltz 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 |
|---|
Ms Kristin M Boltz, ARNP
2200 Sw Gage Blvd,
Topeka, KS 66622-0001
Ph: (785) 350-3111 | Ms Kristin M Boltz, ARNP
3313b Thrasher Rd,
White Cloud, KS 66094-4028
Ph: (785) 585-3450 |
Reviews and Comments