Jill E Boulden, MD in Tomah, WI - Medicare Family Practice

Jill E Boulden, MD is a medicare enrolled "Family Medicine" physician in Tomah, Wisconsin. She went to University Of Nebraska College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Black River Memorial Hospital Inc, Tomah Memorial Hospital Inc and her current practice location is 325 Butts Ave, Tomah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 372-5951.

Jill E Boulden is licensed to practice in Wisconsin (license number 50635) 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 1508077520.

Contact Information

	Jill E Boulden, MD
	325 Butts Ave, Tomah, WI 54660-1412
	(608) 372-5951
	(608) 372-3436

Map and Direction

Physician's Profile

Full Name	Jill E Boulden
Gender	Female
Speciality	Family Practice
Experience	20 Years
Location	325 Butts Ave, Tomah, Wisconsin
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:

Jill E Boulden attended and graduated from University Of Nebraska College Of Medicine in 2004

NPI Data:

NPI Number: 1508077520
Provider Enumeration Date: 05/24/2007
Last Update Date: 05/17/2019

Medicare PECOS Information:

PECOS PAC ID: 0749375095
Enrollment ID: I20071001000742

Medical Identifiers

Medical identifiers for Jill E Boulden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508077520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	50635 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tomah Memorial Hospital	Tomah, WI	Hospital
Black River Memorial Hospital	Black river falls, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Black River Memorial Hospital Inc	3173431178	34
Tomah Memorial Hospital Inc	6901897016	43

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. Jill E Boulden allows following entities to bill medicare on her behalf.

Entity Name	Gundersen Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139

Entity Name	Black River Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517

Entity Name	Tomah Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123

Entity Name	Tomah Memorial Hospital Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1184765240 PECOS PAC ID: 6901897016 Enrollment ID: O20101120000172

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. Jill E Boulden 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
Jill E Boulden, MD Po Box 1510, Eau Claire, WI 54702-1510 Ph: (608) 785-0940	Jill E Boulden, MD 325 Butts Ave, Tomah, WI 54660-1412 Ph: (608) 372-5951

Reviews and Comments

Family Medicine Doctors in Tomah, WI

Dr. Kyle Christian Thomas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5951
Sharel A Martin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5951 Fax: 608-372-3436
Dr. Rachel A Teske, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 Fax: 608-372-1249
Karyn Cecele, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5999
George C Xakellis Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 500 East Veteran Street, Tomah, WI 54660 Phone: 608-372-1792
April Ann Lassa, APNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-1239
Ralph H Knudson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111

Jill E Boulden, MD - Medicare Family Practice in Tomah, WI