Brandi Jo Boden, DO in Bonney Lake, WA - Medicare Family Practice

Brandi Jo Boden, DO is a medicare enrolled "Family Medicine" physician in Bonney Lake, Washington. She went to Pacific Nw Un Of Hs, Col Of Osteopathic Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice South Hill Family Medicine Pc and her current practice location is 10004 204th Ave E Fl 3, Bonney Lake, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 848-5951.

Brandi Jo Boden is licensed to practice in Washington (license number OP61187255) 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 1023676541.

Contact Information

	Brandi Jo Boden, DO
	10004 204th Ave E Fl 3, Bonney Lake, WA 98391-6539
	(253) 848-5951
	Not Available

Map and Direction

Physician's Profile

Full Name	Brandi Jo Boden
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	10004 204th Ave E Fl 3, Bonney Lake, Washington
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:

Brandi Jo Boden attended and graduated from Pacific Nw Un Of Hs, Col Of Osteopathic Medicine in 2019

NPI Data:

NPI Number: 1023676541
Provider Enumeration Date: 05/30/2019
Last Update Date: 01/12/2026

Medicare PECOS Information:

PECOS PAC ID: 3476889692
Enrollment ID: I20220805002574

Medical Identifiers

Medical identifiers for Brandi Jo Boden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023676541	NPI	-	NPPES
2136024	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OP61187255 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Hill Family Medicine Pc	8729980396	59

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. Brandi Jo Boden allows following entities to bill medicare on her behalf.

Entity Name	South Hill Family Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538253331 PECOS PAC ID: 8729980396 Enrollment ID: O20040123000443

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. Brandi Jo Boden 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
Brandi Jo Boden, DO 2904 4th Ave Ne, Puyallup, WA 98372-7053 Ph: (253) 848-5951	Brandi Jo Boden, DO 10004 204th Ave E Fl 3, Bonney Lake, WA 98391-6539 Ph: (253) 848-5951

Reviews and Comments

Family Medicine Doctors in Bonney Lake, WA

Andrea Marie Lynde, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 9230 Sky Island Dr E Fl 2, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-750-6100
Ms. Ericka Gilson, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8415 Myers Rd E, Bonney Lake, WA 98391 Phone: 253-600-7170 Fax: 253-237-9444
Dr. Julie A Komarow, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, #3400, Bonney Lake, WA 98391 Phone: 253-848-5951 Fax: 253-845-7073
Maria Rochelle Carreon Martin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9230 Sky Island Dr E, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-750-6100
Dr. Nicholas C Welter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9230 Sky Island Dr E, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-750-6100
Dr. Archana Madhuri Rajan, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9230 Sky Island Dr E, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-426-6344

Brandi Jo Boden, DO - Medicare Family Practice in Bonney Lake, WA