Kathie E Bollenbach, MMS, PA-C is a medicare enrolled "Physician Assistant" in Creswell, North Carolina. She graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Presbyterian Healthcare Services and her current practice location is
9500 Nc Highway 94 N, Creswell, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 209-0237.
Kathie E Bollenbach is licensed to practice in Wisconsin (license number 1233-023) 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 1689677213.
Provider's Profile
| Full Name | Kathie E Bollenbach |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 27 Years |
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| Location | 9500 Nc Highway 94 N, Creswell, North Carolina |
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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:
- Kathie E Bollenbach graduated from nursing school in 1999
NPI Data:
- NPI Number: 1689677213
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 04/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709770282
- Enrollment ID: I20250909000099
Medical Identifiers
Medical identifiers for Kathie E Bollenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689677213 | NPI | - | NPPES |
| 390848401050 | Other | WI | ANTHEM |
| 1851477913 | Other | WI | CMH NPI |
| 11014110 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1233-023 (Wisconsin) | Primary |
| 363A00000X | Physician Assistant | MA066417 (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Presbyterian Healthcare Services | 9234041708 | 1370 |
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. Kathie E Bollenbach 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 |
|---|
Kathie E Bollenbach, MMS, PA-C
Po Box 669,
Ahoskie, NC 27910-0669
Ph: (252) 209-0237 | Kathie E Bollenbach, MMS, PA-C
9500 Nc Highway 94 N,
Creswell, NC 27928-8300
Ph: (252) 209-0237 |
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