Ms Amy Katherine Boles, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Vienna, Virginia. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Smg Anesthesia Specialists Llc and her current practice location is
8219 Leesburg Pike Ste 100, Vienna, Virginia. You can reach out to her office (for appointments etc.) via phone at
(301) 873-7508.
Ms Amy Katherine Boles is licensed to practice in Florida (license number ARNP9359225) 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 1790129872.
Provider's Profile
| Full Name | Ms Amy Katherine Boles |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 12 Years |
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| Location | 8219 Leesburg Pike Ste 100, Vienna, Virginia |
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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. |
Medical Education and Training:
- Ms Amy Katherine Boles graduated from nursing school in 2013
NPI Data:
- NPI Number: 1790129872
- Provider Enumeration Date: 04/19/2013
- Last Update Date: 06/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002057213
- Enrollment ID: I20140602000664
Medical Identifiers
Medical identifiers for Ms Amy Katherine Boles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790129872 | NPI | - | NPPES |
| 008968900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9359225 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Smg Anesthesia Specialists Llc | 6305081118 | 235 |
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. Ms Amy Katherine Boles allows following entities to bill medicare on her behalf.
| Entity Name | Smg Anesthesia Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
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| Entity Name | Premier Anesthesia Of Virginia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255986147 PECOS PAC ID: 1951722362 Enrollment ID: O20200610001253 |
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| Entity Name | Surgical Anesthesia Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20230130001161 |
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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. Ms Amy Katherine Boles 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 |
Ms Amy Katherine Boles, CRNA Po Box 918025, Orlando, FL 32891-8025 Ph: () - | Ms Amy Katherine Boles, CRNA 8219 Leesburg Pike Ste 100, Vienna, VA 22182-2625 Ph: (301) 873-7508 |
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