Miss Carolynn R Boatfield, PA-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Monmouth, Illinois. Her current practice location is
1000 W Harlem Ave, Monmouth, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 734-1414.
Miss Carolynn R Boatfield is licensed to practice in * (Not Available) (license number ) 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 1962252486.
Provider's Profile
| Full Name | Miss Carolynn R Boatfield |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1000 W Harlem Ave, Monmouth, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962252486
- Provider Enumeration Date: 03/26/2024
- Last Update Date: 10/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880134360
- Enrollment ID: I20240911001262
Medical Identifiers
Medical identifiers for Miss Carolynn R Boatfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962252486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Miss Carolynn R Boatfield 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 |
|---|
Miss Carolynn R Boatfield, PA-C
1000 W Harlem Ave,
Monmouth, IL 61462
Ph: (309) 734-1414 | Miss Carolynn R Boatfield, PA-C
1000 W Harlem Ave,
Monmouth, IL 61462
Ph: (309) 734-1414 |
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