Karen Boulanger Pack, PA - Medicare Physician Assistant in Charleston, SC

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Karen Boulanger Pack, PA is a medicare enrolled "Physician Assistant" in Charleston, South Carolina. Her current practice location is 3424 Shelby Ray Ct, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 402-6834.

Karen Boulanger Pack is licensed to practice in South Carolina (license number 668) 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 1184653610.

Contact Information

Karen Boulanger Pack, PA
3424 Shelby Ray Ct,
Charleston, SC 29414-5838
(843) 402-6834
(843) 573-9963

Map and Direction




Provider's Profile

Full NameKaren Boulanger Pack
GenderFemale
SpecialityPhysician Assistant
Location3424 Shelby Ray Ct, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184653610
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5799856647
  • Enrollment ID: I20080619000557

Medical Identifiers

Medical identifiers for Karen Boulanger Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184653610NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 668 (South Carolina)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. Karen Boulanger Pack allows following entities to bill medicare on her behalf.
Entity NameCfvhs Ed Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215931589
PECOS PAC ID: 2961316237
Enrollment ID: O20031119000605
Entity NameVidant Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameColumbus Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588813786
PECOS PAC ID: 2961560446
Enrollment ID: O20081028000380
Entity NameOuter Banks Professional Services, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891050357
PECOS PAC ID: 3173652096
Enrollment ID: O20100602000156
Entity NameHoke Emergency Group, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003337528
PECOS PAC ID: 7214200146
Enrollment ID: O20170829001085
Entity NameCarolina Quickcare Family Practice, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881360899
PECOS PAC ID: 0840682340
Enrollment ID: O20220113000087

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. Karen Boulanger Pack 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
Karen Boulanger Pack, PA
4416 Forest Dr, 2nd Floor,
Columbia, SC 29206-3104

Ph: (803) 782-4278		Karen Boulanger Pack, PA
3424 Shelby Ray Ct,
Charleston, SC 29414-5838

Ph: (843) 402-6834

Reviews and Comments


Physician Assistant Nurses in Charleston, SC

Christian Anton Sung, PA-C
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Phone: 843-720-8490    
Amy Lynn Canino, PA-C
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Practice Location: 316 Calhoun St, Charleston, SC 29401
Phone: 843-402-1638    Fax: 843-724-2455
Elizabeth Poindexter,
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Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Meredith Barb Bauerband, PA-C
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Phone: 865-647-5800    Fax: 865-647-5979
Jessica Marie Richgels, PA-C
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Practice Location: 1327 Ashley River Rd Ste B, Charleston, SC 29407
Phone: 843-577-4551    

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.