Susan Kay Boland, PA is a
Physician Assistant based in Darien, Wisconsin. Susan Kay Boland is licensed to practice in Wisconsin (license number 2122-23) and her current practice location is
300 North Washington Street, Darien Medical Clinic, Darien, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 882-1151.
NPI number for Susan Kay Boland is 1023136512 and her current mailing address is 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023136512.
Provider's Profile
| Full Name | Susan Kay Boland |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 300 North Washington Street, Darien, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023136512
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 03/08/2011
Medical Identifiers
Medical identifiers for Susan Kay Boland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023136512 | NPI | - | NPPES |
| 1023136512 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 085001543 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 2122-23 (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. Susan Kay Boland 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 Address | Practice Location Address |
|---|
Susan Kay Boland, PA
1905 E. Huebbe Parkway, Beloit Health System Inc,
Beloit, WI 53511-1842
Ph: (608) 364-2200 | Susan Kay Boland, PA
300 North Washington Street, Darien Medical Clinic,
Darien, WI 53114-1534
Ph: (262) 882-1151 |
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