Miss Carolynn R Boatfield, PA-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Monmouth, Illinois. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Osf Healthcare System, Community Medical Center Of Western Illinois Inc and 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
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 1962252486.
Provider's Profile
| Full Name | Miss Carolynn R Boatfield |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 1000 W Harlem Ave, Monmouth, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Carolynn R Boatfield graduated from nursing school in 2024
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 |
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| 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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Osf Healthcare System | 4284541806 | 77 |
| Community Medical Center Of Western Illinois Inc | 5294621793 | 14 |
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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