Kelly K Boland, CRNA in Concord Township, OH - Medicare Certified Registered Nurse Anesthetist (crna)

Kelly K Boland, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Concord Township, Ohio. She graduated from nursing school in 1997 and has 29 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Dayton Gastroenterology, Llc and her current practice location is 9614 Old Johnnycake Ridge Rd, Concord Township, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 205-1225.

Kelly K Boland is licensed to practice in Ohio (license number 048765) 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 1770556391.

Contact Information

	Kelly K Boland, CRNA
	9614 Old Johnnycake Ridge Rd, Concord Township, OH 44060-6521
	(440) 205-1225
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly K Boland
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	29 Years
Location	9614 Old Johnnycake Ridge Rd, Concord Township, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly K Boland graduated from nursing school in 1997

NPI Data:

NPI Number: 1770556391
Provider Enumeration Date: 02/13/2006
Last Update Date: 03/03/2025

Medicare PECOS Information:

PECOS PAC ID: 0547352403
Enrollment ID: I20071105000362

Medical Identifiers

Medical identifiers for Kelly K Boland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770556391	NPI	-	NPPES
2181491	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	048765 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dayton Gastroenterology, Llc	9537064407	81

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. Kelly K Boland allows following entities to bill medicare on her behalf.

Entity Name	Dayton Gastroenterology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134345705 PECOS PAC ID: 9537064407 Enrollment ID: O20031204000041

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. Kelly K Boland 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
Kelly K Boland, CRNA One Gi Credentialing Department, Po Box 381468, Germantown, TN 38183-1468 Ph: () -	Kelly K Boland, CRNA 9614 Old Johnnycake Ridge Rd, Concord Township, OH 44060-6521 Ph: (440) 205-1225

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Concord Township, OH

Mr. Patrick Joseph Ginley Iv, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9614 Old Johnnycake Ridge Rd, Concord Township, OH 44060 Phone: 440-205-1225
Dr. Debra Pecka Malina, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9614 Old Johnnycake Ridge Rd, Concord Township, OH 44060 Phone: 440-205-1225 Fax: 440-205-1275
Ms. Michelle Lee Patterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9614 Old Johnnycake Ridge Rd, Concord Township, OH 44060 Phone: 440-205-1225

Kelly K Boland, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Concord Township, OH