Ms Kathleen Boczar, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Ms Kathleen Boczar, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 1900 N 9th St, Suite 104, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 765-6690.

Ms Kathleen Boczar is licensed to practice in Pennsylvania (license number SP000980B) 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 1164464798.

Contact Information

	Ms Kathleen Boczar, CRNP
	1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909
	(215) 765-6690
	(215) 765-6694

Map and Direction

Provider's Profile

Full Name	Ms Kathleen Boczar
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1900 N 9th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164464798
Provider Enumeration Date: 06/11/2006
Last Update Date: 07/14/2016

Medicare PECOS Information:

PECOS PAC ID: 4789751793
Enrollment ID: I20080917000238

Medical Identifiers

Medical identifiers for Ms Kathleen Boczar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164464798	NPI	-	NPPES
1487818	Other	PA	AETNA
2268271000	Other	PA	KEYSTONE HEALTH PLAN EAST
1590263	Other	PA	BLUE CROSS
0018132210001	Medicaid	PA
16605	Other	PA	BRAVO
30027018	Other	PA	KEYSTONE MERCY HEALTH PLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP000980B (Pennsylvania)	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. Ms Kathleen Boczar allows following entities to bill medicare on her behalf.

Entity Name	Public Health Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881779866 PECOS PAC ID: 1850307406 Enrollment ID: O20060504000213

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 Kathleen Boczar 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 Kathleen Boczar, CRNP 1500 Market Street, Lm 500 West Tower, Philadelphia, PA 19120-2100 Ph: (215) 985-2595	Ms Kathleen Boczar, CRNP 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 Ph: (215) 765-6690

Reviews and Comments

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Ms Kathleen Boczar, CRNP - Medicare Nurse Practitioner in Philadelphia, PA