Mrs Gianna Boles, FNP-C in Tully, NY - Medicare Nurse Practitioner

Mrs Gianna Boles, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tully, New York. Her current practice location is 5 State St, Tully, New York. You can reach out to her office (for appointments etc.) via phone at (315) 696-4635.

Mrs Gianna Boles is licensed to practice in New York (license number F351074-01) 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 1275232274.

Contact Information

	Mrs Gianna Boles, FNP-C
	5 State St, Tully, NY 13159-3273
	(315) 696-4635
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Gianna Boles
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5 State St, Tully, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275232274
Provider Enumeration Date: 02/28/2023
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 0244605970
Enrollment ID: I20230412000647

Medical Identifiers

Medical identifiers for Mrs Gianna Boles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275232274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F351074-01 (New York)	Primary

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. Mrs Gianna Boles allows following entities to bill medicare on her behalf.

Entity Name	Familycare Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447212063 PECOS PAC ID: 5193639565 Enrollment ID: O20031119000053

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 Gianna Boles 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
Mrs Gianna Boles, FNP-C 16 Tyler Ct, Manlius, NY 13104-1741 Ph: () -	Mrs Gianna Boles, FNP-C 5 State St, Tully, NY 13159-3273 Ph: (315) 696-4635

Reviews and Comments

Nurse Practitioner Nurses in Tully, NY

Mary Elizabeth Bean, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5821 Route 80, Box 1116, Tully, NY 13159 Phone: 315-696-6114 Fax: 315-696-8509
Loretta Lynne Edinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5-7 State Street, Tully, NY 13159 Phone: 315-696-4635
Mr. Charles Nicholas Pirro, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5821 Route 80, Tully, NY 13159 Phone: 315-696-6114 Fax: 315-696-8509
Susan Lee Moench, R.N.,M.S.,C.S.,N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 State St, Tully, NY 13159 Phone: 315-696-0264 Fax: 315-696-0264
Jan Mary Mead, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5697 Lake Rd, Tully, NY 13159 Phone: 315-391-8141

Mrs Gianna Boles, FNP-C - Medicare Nurse Practitioner in Tully, NY