Bridget M Boylan, PT, LAC is a medicare enrolled "Physical Therapist" provider in Bellingham, Washington. Her current practice location is
517 E Magnolia St, Bellingham, Washington. You can reach out to her office (for appointments etc.) via phone at
(503) 610-0834.
Bridget M Boylan is licensed to practice in Washington (license number 5456) 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 1922195916.
Healthcare Provider's Profile
| Full Name | Bridget M Boylan |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 517 E Magnolia St, Bellingham, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1922195916
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 03/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709848211
- Enrollment ID: I20041027001061
Medical Identifiers
Medical identifiers for Bridget M Boylan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922195916 | NPI | - | NPPES |
| 7095565 | Medicaid | WA | |
| 6275BO | Other | WA | REGENCE |
| 6515BO | Other | WA | REGENCE |
| 5250BO | Other | WA | REGENCE |
| 0124051 | Other | WA | LABOR AND INDUSTRIES |
| 2370BO | Other | WA | REGENCE |
| 256BO | Other | WA | REGENCE |
| 0152BO | Other | WA | REGENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC2691 (Washington) | Secondary |
| 225100000X | Physical Therapist | 5456 (Washington) | 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. Bridget M Boylan 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 |
|---|
Bridget M Boylan, PT, LAC
Po Box 30756,
Bellingham, WA 98228-2756
Ph: (206) 772-5315 | Bridget M Boylan, PT, LAC
517 E Magnolia St,
Bellingham, WA 98225-4529
Ph: (503) 610-0834 |
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