Janelle L Kyllo Bouchie, PA-C - Medicare in Detroit Lakes, MN

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Janelle L Kyllo Bouchie, PA-C is a medicare enrolled "Physician Assistant" provider in Detroit Lakes, Minnesota. Her current practice location is 1027 Washington Ave, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 847-5611.

Janelle L Kyllo Bouchie is licensed to practice in Minnesota (license number 12809) 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 1366716102.

Contact Information

Janelle L Kyllo Bouchie, PA-C
1027 Washington Ave,
Detroit Lakes, MN 56501-3409
(218) 847-5611
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJanelle L Kyllo Bouchie
GenderFemale
SpecialityPhysician Assistant
Location1027 Washington Ave, Detroit Lakes, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366716102
  • Provider Enumeration Date: 02/24/2012
  • Last Update Date: 11/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143573311
  • Enrollment ID: I20181106000177

Medical Identifiers

Medical identifiers for Janelle L Kyllo Bouchie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366716102NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics OT-1120 (Idaho)Secondary
363A00000XPhysician Assistant 12809 (Minnesota)Primary

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. Janelle L Kyllo Bouchie 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
Janelle L Kyllo Bouchie, PA-C
1702 University Dr S,
Fargo, ND 58103-4940

Ph: () -		Janelle L Kyllo Bouchie, PA-C
1027 Washington Ave,
Detroit Lakes, MN 56501-3409

Ph: (218) 847-5611

Reviews and Comments



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.