Mrs Abigail Boethin, PA-C - Medicare Physician Assistant in Urbana, IL

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Mrs Abigail Boethin, PA-C is a medicare enrolled "Physician Assistant" in Urbana, Illinois. Her current practice location is 611 W Park St, Fapc, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 904-7000.

Mrs Abigail Boethin is licensed to practice in Illinois (license number 085007968) 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 1023369212.

Contact Information

Mrs Abigail Boethin, PA-C
611 W Park St, Fapc,
Urbana, IL 61801
(217) 904-7000
(217) 904-7748

Map and Direction




Provider's Profile

Full NameMrs Abigail Boethin
GenderFemale
SpecialityPhysician Assistant
Location611 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023369212
  • Provider Enumeration Date: 09/27/2012
  • Last Update Date: 06/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224289616
  • Enrollment ID: I20210302003039

Medical Identifiers

Medical identifiers for Mrs Abigail Boethin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023369212NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2012033522 (Missouri)Secondary
363AM0700XPhysician Assistant - Medical 2012033522 (Missouri)Secondary
363AS0400XPhysician Assistant - Surgical 2012033522 (Missouri)Secondary
363A00000XPhysician Assistant 085007968 (Illinois)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 Abigail Boethin allows following entities to bill medicare on her behalf.
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameDecatur Orthopedic Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336586114
PECOS PAC ID: 4981844289
Enrollment ID: O20130710000446

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 Abigail Boethin 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
Mrs Abigail Boethin, PA-C
611 W Park St, Fapc,
Urbana, IL 61801

Ph: Not Available		Mrs Abigail Boethin, PA-C
611 W Park St, Fapc,
Urbana, IL 61801

Ph: (217) 904-7000

Reviews and Comments


Physician Assistant Nurses in Urbana, IL

Yaa Mensah-bonsu, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3313    
Hoshang Irani, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 611 W. Park St., Urbana, IL 61801
Phone: 217-383-3313    Fax: 217-383-4014
Aubrey N. Hudson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 611 W. Park St., Ob/gyn, Urbana, IL 61801
Phone: 217-383-3140    Fax: 217-383-4966
Bayleigh Augusta White-geisler, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-904-7000    Fax: 217-904-7751
Sarah Rebecca Moon,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3311    
Kiley Ann Owen, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Emergency, Urbana, IL 61801
Phone: 217-383-3313    Fax: 217-383-4014
Nicholas Holwey, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 611 W. Park St., Emergency Room, Urbana, IL 61801
Phone: 217-383-3311    Fax: 217-383-4014

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.