Mrs Dolores R Boisselle, AUD is a medicare enrolled "Audiologist" provider in Elmwood Park, New Jersey. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Audslp Diagnostic And Rehabilitation Clinic and her current practice location is
One Broadway, Suite 302, Elmwood Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 773-8962.
Mrs Dolores R Boisselle is licensed to practice in * (Not Available) (license number 41YA00011400) 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 1851535934.
Healthcare Provider's Profile
| Full Name | Mrs Dolores R Boisselle |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 38 Years |
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| Location | One Broadway, Elmwood Park, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Dolores R Boisselle graduated from medical school in 1986
NPI Data:
- NPI Number: 1851535934
- Provider Enumeration Date: 04/21/2009
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921277609
- Enrollment ID: I20110815000464
Medical Identifiers
Medical identifiers for Mrs Dolores R Boisselle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851535934 | NPI | - | NPPES |
| 0974382 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 41YA00011400 (New Jersey) | Secondary |
| 231H00000X | Audiologist | 41YA00011400 (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Audslp Diagnostic And Rehabilitation Clinic | 4587833264 | 2 |
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 Dolores R Boisselle allows following entities to bill medicare on her behalf.
| Provider Name | Audslp Diagnostic And Rehabilitation Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891092755
PECOS PAC ID: 4587833264
Enrollment ID: O20110815000434 |
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| Provider Name | Nj Audiology Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184357683
PECOS PAC ID: 2769865476
Enrollment ID: O20220812002314 |
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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 Dolores R Boisselle 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 |
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Mrs Dolores R Boisselle, AUD
One Broadway, Suite 302,
Elmwood Park, NJ 07407
Ph: (201) 773-8962 | Mrs Dolores R Boisselle, AUD
One Broadway, Suite 302,
Elmwood Park, NJ 07407
Ph: (201) 773-8962 |
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