Jacqueline Kalis Bohanko, PA-C - Medicare Physician Assistant in Cinnaminson, NJ

Jacqueline Kalis Bohanko, PA-C is a medicare enrolled "Physician Assistant - Medical" in Cinnaminson, New Jersey. She went to Drexel University College Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Connolly Dermatology Philadelphia Llc, Coyle S Connolly Do Pa and her current practice location is 2099 New Albany Rd, Cinnaminson, New Jersey. You can reach out to her office (for appointments etc.) via phone at (099) 268-8996.

Jacqueline Kalis Bohanko is licensed to practice in Pennsylvania (license number MA053571) 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 1760631279.

Contact Information

Jacqueline Kalis Bohanko, PA-C
2099 New Albany Rd,
Cinnaminson, NJ 08077-3534
(099) 268-8996
(856) 772-1997

Map and Direction




Provider's Profile

Full NameJacqueline Kalis Bohanko
GenderFemale
SpecialityPhysician Assistant
Experience17 Years
Location2099 New Albany Rd, Cinnaminson, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Kalis Bohanko attended and graduated from Drexel University College Of Medicine in 2008
  NPI Data:
  • NPI Number: 1760631279
  • Provider Enumeration Date: 09/09/2008
  • Last Update Date: 09/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961556345
  • Enrollment ID: I20090819000738

Medical Identifiers

Medical identifiers for Jacqueline Kalis Bohanko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760631279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00879200 (New Jersey)Secondary
363AM0700XPhysician Assistant - Medical MA053571 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Connolly Dermatology Philadelphia Llc60022294733
Coyle S Connolly Do Pa296149811831

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. Jacqueline Kalis Bohanko 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 AddressPractice Location Address
Jacqueline Kalis Bohanko, PA-C
2099 New Albany Rd,
Cinnaminson, NJ 08077-3534

Ph: (609) 926-8899
Jacqueline Kalis Bohanko, PA-C
2099 New Albany Rd,
Cinnaminson, NJ 08077-3534

Ph: (099) 268-8996

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.