Collins Kwabena Boateng, PA-C is a medicare enrolled "Physician Assistant" in Lakeridge, Virginia. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ear Nose And Throat And Facial Plastic Surgery Center Of Frederick and his current practice location is
2070 Old Bridge Rd Ste 103, Lakeridge, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 499-8787.
Collins Kwabena Boateng is licensed to practice in Virginia (license number 0110005729) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629502257.
Provider's Profile
| Full Name | Collins Kwabena Boateng |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 2070 Old Bridge Rd Ste 103, Lakeridge, Virginia |
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| Accepts Medicare Assignments | Yes. He 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:
- Collins Kwabena Boateng graduated from nursing school in 2017
NPI Data:
- NPI Number: 1629502257
- Provider Enumeration Date: 04/20/2017
- Last Update Date: 05/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941571020
- Enrollment ID: I20170808001816
Medical Identifiers
Medical identifiers for Collins Kwabena Boateng such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629502257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 0110005729 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110005729 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ear Nose And Throat And Facial Plastic Surgery Center Of Frederick | 5496858979 | 11 |
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. Collins Kwabena Boateng 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 |
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Collins Kwabena Boateng, PA-C
2070 Old Bridge Rd Ste 103,
Lakeridge, VA 22192-2945
Ph: (703) 499-8787 | Collins Kwabena Boateng, PA-C
2070 Old Bridge Rd Ste 103,
Lakeridge, VA 22192-2945
Ph: (703) 499-8787 |
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