Jill E Boulden, MD - Medicare Family Practice in Tomah, WI

Jill E Boulden, MD is a medicare enrolled "Family Medicine" physician in Tomah, Wisconsin. She went to University Of Nebraska College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Black River Memorial Hospital Inc, Tomah Memorial Hospital Inc and her current practice location is 325 Butts Ave, Tomah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 372-5951.

Jill E Boulden is licensed to practice in Wisconsin (license number 50635) 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 1508077520.

Contact Information

Jill E Boulden, MD
325 Butts Ave,
Tomah, WI 54660-1412
(608) 372-5951
(608) 372-3436



Physician's Profile

Full NameJill E Boulden
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location325 Butts Ave, Tomah, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jill E Boulden attended and graduated from University Of Nebraska College Of Medicine in 2004
  NPI Data:
  • NPI Number: 1508077520
  • Provider Enumeration Date: 05/24/2007
  • Last Update Date: 05/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0749375095
  • Enrollment ID: I20071001000742

Medical Identifiers

Medical identifiers for Jill E Boulden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508077520NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 50635 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tomah Memorial HospitalTomah, WIHospital
Black River Memorial HospitalBlack river falls, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Black River Memorial Hospital Inc317343117834
Tomah Memorial Hospital Inc690189701643

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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. Jill E Boulden allows following entities to bill medicare on her behalf.
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139

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Entity NameBlack River Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811940331
PECOS PAC ID: 3173431178
Enrollment ID: O20040128000517

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Entity NameTomah Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992970453
PECOS PAC ID: 6901897016
Enrollment ID: O20040519000123

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Entity NameTomah Memorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1184765240
PECOS PAC ID: 6901897016
Enrollment ID: O20101120000172

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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. Jill E Boulden 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
Jill E Boulden, MD
Po Box 1510,
Eau Claire, WI 54702-1510

Ph: (608) 785-0940
Jill E Boulden, MD
325 Butts Ave,
Tomah, WI 54660-1412

Ph: (608) 372-5951

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Read more News

› Verified 9 days ago


Family Medicine Doctors in Tomah, WI

Dr. Kyle Christian Thomas, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 Butts Ave, Tomah, WI 54660
Phone: 608-372-5951    
Sharel A Martin, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 325 Butts Ave, Tomah, WI 54660
Phone: 608-372-5951    Fax: 608-372-3436
Dr. Rachel A Teske, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    Fax: 608-372-1249
Karyn Cecele, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 Butts Ave, Tomah, WI 54660
Phone: 608-372-5999    
George C Xakellis Jr., M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 500 East Veteran Street, Tomah, WI 54660
Phone: 608-372-1792    
April Ann Lassa, APNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-1239    
Ralph H Knudson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1330 N Superior Ave, Tomah, WI 54660
Phone: 608-372-4111    

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