Mrs Leslie Jean Boylan, CRNP in Rockville, MD

Mrs Leslie Jean Boylan, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Rockville, Maryland. Her current practice location is 8 W. Middle Lane, Rockville, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 917-6800.

Mrs Leslie Jean Boylan is licensed to practice in Connecticut (license number 003621) 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 1700937075.

Contact Information

	Mrs Leslie Jean Boylan, CRNP
	8 W. Middle Lane, Rockville, MD 20850
	(301) 917-6800
	(301) 917-6810

Map and Direction

Provider's Profile

Full Name	Mrs Leslie Jean Boylan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8 W. Middle Lane, Rockville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700937075
Provider Enumeration Date: 01/15/2007
Last Update Date: 05/12/2021

Medicare PECOS Information:

PECOS PAC ID: 6901995364
Enrollment ID: I20220221000341

Medical Identifiers

Medical identifiers for Mrs Leslie Jean Boylan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700937075	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R051556 (Maine)	Secondary
363LF0000X	Nurse Practitioner - Family	003621 (Connecticut)	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 Leslie Jean Boylan allows following entities to bill medicare on her behalf.

Entity Name	Mansfield Kaseman Health Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831527183 PECOS PAC ID: 4284057241 Enrollment ID: O20200709000102

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 Leslie Jean Boylan 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 Leslie Jean Boylan, CRNP 8 W. Middle Lane, Rockville, MD 20850 Ph: (301) 917-6800	Mrs Leslie Jean Boylan, CRNP 8 W. Middle Lane, Rockville, MD 20850 Ph: (301) 917-6800

Reviews and Comments

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Mrs Leslie Jean Boylan, CRNP - Medicare Nurse Practitioner in Rockville, MD