Jennifer Madeline Lee Boni, MD - Medicare Obstetrics & Gynecology in Placerville, CA

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Jennifer Madeline Lee Boni, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Placerville, California. Her current practice location is 4212 Missouri Flat Rd, Placerville, California. You can reach out to her office (for appointments etc.) via phone at (530) 621-7700.

Jennifer Madeline Lee Boni is licensed to practice in California (license number C173221) 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 1558570911.

Contact Information

Jennifer Madeline Lee Boni, MD
4212 Missouri Flat Rd,
Placerville, CA 95667-6269
(530) 621-7700
Not Available

Map and Direction




Physician's Profile

Full NameJennifer Madeline Lee Boni
GenderFemale
SpecialityObstetrics & Gynecology
Location4212 Missouri Flat Rd, Placerville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558570911
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 07/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7113010653
  • Enrollment ID: I20210720002151

Medical Identifiers

Medical identifiers for Jennifer Madeline Lee Boni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558570911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology C173221 (California)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. Jennifer Madeline Lee Boni allows following entities to bill medicare on her behalf.
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameObhg California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215258892
PECOS PAC ID: 8729276795
Enrollment ID: O20101217000826
Entity NameObstetrix Medical Group Of Sacramento Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144593310
PECOS PAC ID: 3577726074
Enrollment ID: O20120521000283
Entity NameEnloe Medical Center
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1477975613
PECOS PAC ID: 9739092388
Enrollment ID: O20140401001696

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. Jennifer Madeline Lee Boni 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
Jennifer Madeline Lee Boni, MD
4212 Missouri Flat Rd,
Placerville, CA 95667-6269

Ph: (530) 621-7700		Jennifer Madeline Lee Boni, MD
4212 Missouri Flat Rd,
Placerville, CA 95667-6269

Ph: (530) 621-7700

Reviews and Comments


Obstetrics & Gynecology Doctors in Placerville, CA

Timna L L Hughes, MD
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Michael W Jones, MD
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Dr. Michele Lynn Cherry, D.O.
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Phone: 530-344-5470    
Evgenia Polosina, M.D.
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Phone: 530-344-5470    

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.