Mrs Carolyn Bird Boley, NP in Eureka, CA - Medicare Nurse Practitioner

Mrs Carolyn Bird Boley, NP is a medicare enrolled "Nurse Practitioner" in Eureka, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 2700 Dolbeer St, Eureka, California. You can reach out to her office (for appointments etc.) via phone at (707) 445-8121.

Mrs Carolyn Bird Boley is licensed to practice in California (license number 95004725) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629528245.

Contact Information

	Mrs Carolyn Bird Boley, NP
	2700 Dolbeer St, Eureka, CA 95501-4736
	(707) 445-8121
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Carolyn Bird Boley
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	2700 Dolbeer St, Eureka, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Carolyn Bird Boley graduated from nursing school in 2016

NPI Data:

NPI Number: 1629528245
Provider Enumeration Date: 10/06/2016
Last Update Date: 10/06/2016

Medicare PECOS Information:

PECOS PAC ID: 4587943246
Enrollment ID: I20161121001114

Medical Identifiers

Medical identifiers for Mrs Carolyn Bird Boley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629528245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95004725 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Eureka, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1293

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. Mrs Carolyn Bird Boley allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	California Em-i Medical Services A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003865247 PECOS PAC ID: 3678487774 Enrollment ID: O20040323000681

Entity Name	Wahidullah Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093143356 PECOS PAC ID: 0345473062 Enrollment ID: O20140505001672

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. Mrs Carolyn Bird Boley 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
Mrs Carolyn Bird Boley, NP 2700 Dolbeer St, Eureka, CA 95501-4736 Ph: () -	Mrs Carolyn Bird Boley, NP 2700 Dolbeer St, Eureka, CA 95501-4736 Ph: (707) 445-8121

Reviews and Comments

Nurse Practitioner Nurses in Eureka, CA

Elizabeth Wachtel O'brien, CNM, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Walford Ave, Suite B, Eureka, CA 95503 Phone: 707-445-3443 Fax: 707-445-1848
Rachel Hatchimonji, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Harrison Ave, Eureka, CA 95501 Phone: 707-443-9371
Ms. Suzanne Dietz, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054
Kathy Sattler, RN , FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327
Kabou Xiong, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4250
Marice Thomas, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327
Ms. Susan Blankenhorn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990

Mrs Carolyn Bird Boley, NP - Medicare Nurse Practitioner in Eureka, CA