Dr Jennifer L Bolduc, MD in Walla Walla, WA - Pediatrics

Dr Jennifer L Bolduc, MD is a Pediatrics physician based in Walla Walla, Washington. Dr Jennifer L Bolduc is licensed to practice in Washington (license number MD00042057) and her current practice location is 55 W Tietan St, Walla Walla, Washington. She can be reached at her office (for appointments etc.) via phone at (509) 525-3720.

NPI number for Dr Jennifer L Bolduc is 1033183256 and her current mailing address is 55 W Tietan St, Walla Walla, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033183256.

Contact Information

	Dr Jennifer L Bolduc, MD
	55 W Tietan St, Walla Walla, WA 99362-4445
	(509) 525-3720
	(509) 522-1578

Physician's Profile

Full Name	Dr Jennifer L Bolduc
Gender	Female
Speciality	Pediatrics
Location	55 W Tietan St, Walla Walla, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1033183256
Provider Enumeration Date: 02/14/2006
Last Update Date: 11/27/2007

Medical Identifiers

Medical identifiers for Dr Jennifer L Bolduc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033183256	NPI	-	NPPES
172310	Other	WA	L&I
8364531	Medicaid	WA
299828	Medicaid	OR
P00016419	Other	WA	RAIL ROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD00042057 (Washington)	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. Dr Jennifer L Bolduc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jennifer L Bolduc, MD 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720	Dr Jennifer L Bolduc, MD 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720

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Pediatrics Doctors in Walla Walla, WA

Timothy Isamu O'connor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720
Rebekah Dickman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593
Donald K Ashley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010
Dr. Alison E Kirby, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1578
Kristin Marie Satterfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-527-8152
Trent D. Rogers, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 West Tietan Street, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593

Dr Jennifer L Bolduc, MD - Pediatrics in Walla Walla, WA