Mrs Jill Marie Bomar, FNP-BC is a
Family Medicine physician based in Laguna Vista, Texas. Mrs Jill Marie Bomar is licensed to practice in Texas (license number 1063117) and her current practice location is 124 Torrey Pines Rd, Laguna Vista, Texas. She can be reached at her office (for appointments etc.) via phone at
(979) 479-4216.
NPI number for Mrs Jill Marie Bomar is 1629965066 and her current mailing address is 124 Torrey Pines Rd, Laguna Vista, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629965066.
Physician's Profile
Full Name | Mrs Jill Marie Bomar |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 124 Torrey Pines Rd, Laguna Vista, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629965066
- Provider Enumeration Date: 06/19/2025
- Last Update Date: 06/19/2025
Medical Identifiers
Medical identifiers for Mrs Jill Marie Bomar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629965066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1063117 (Texas) | Primary |
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 Jill Marie Bomar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jill Marie Bomar, FNP-BC 124 Torrey Pines Rd, Laguna Vista, TX 78578-2982 Ph: (979) 479-4216 | Mrs Jill Marie Bomar, FNP-BC 124 Torrey Pines Rd, Laguna Vista, TX 78578-2982 Ph: (979) 479-4216 |
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