Dr Sampson Kwabina Boham, DO - Medicare Pathology in Fond Du Lac, WI

  1. Home
  2. Pathology
  3. WI
  4. Fond Du Lac
Dr Sampson Kwabina Boham, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Fond Du Lac, Wisconsin. His current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-5800.

Dr Sampson Kwabina Boham is licensed to practice in Wisconsin (license number 81031-21) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225529654.

Contact Information

Dr Sampson Kwabina Boham, DO
430 E Division St,
Fond Du Lac, WI 54935-4597
(920) 926-5800
Not Available

Map and Direction




Physician's Profile

Full NameDr Sampson Kwabina Boham
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location430 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225529654
  • Provider Enumeration Date: 05/21/2018
  • Last Update Date: 08/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1850647256
  • Enrollment ID: I20230817002628

Medical Identifiers

Medical identifiers for Dr Sampson Kwabina Boham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225529654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 81031-21 (Wisconsin)Primary

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. Dr Sampson Kwabina Boham allows following entities to bill medicare on his behalf.
Entity NameAssociated Pathologists, Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396782231
PECOS PAC ID: 9739285479
Enrollment ID: O20070426000271

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. Dr Sampson Kwabina Boham 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 AddressPractice Location Address
Dr Sampson Kwabina Boham, DO
350 W 11th St,
Indianapolis, IN 46202-4108

Ph: (317) 274-2476		Dr Sampson Kwabina Boham, DO
430 E Division St,
Fond Du Lac, WI 54935-4597

Ph: (920) 926-5800

Reviews and Comments


Pathology Doctors in Fond Du Lac, WI

Dr. Philip Douglas Kelley, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 134 Western Ave, Fond Du Lac, WI 54935
Phone: 920-929-3366    Fax: 920-929-6818
Nidhi Kumar, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-5886    
Dr. Jonathan Gedye, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-9300    Fax: 920-923-5260
Dr. Joan Louise Mueller, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, St. Agnes Hospital Pathology Dept, Fond Du Lac, WI 54935
Phone: 920-926-5800    Fax: 920-926-4300
Dr. Shannon Kane Rathke, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-9300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.