Mr John N Boll Jr, DO - Medicare Family Practice in Williamsport, PA

Mr John N Boll Jr, DO is a medicare enrolled "Family Medicine" physician in Williamsport, Pennsylvania. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Susquehanna Physician Services and his current practice location is 740 High St, Suite 4001, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 321-2345.

Mr John N Boll Jr is licensed to practice in Pennsylvania (license number OS010395L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073516944.

Contact Information

Mr John N Boll Jr, DO
740 High St, Suite 4001,
Williamsport, PA 17701-3100
(570) 321-2345
(570) 321-2359



Physician's Profile

Full NameMr John N Boll Jr
GenderMale
SpecialityFamily Practice
Experience26 Years
Location740 High St, Williamsport, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr John N Boll Jr attended and graduated from Philadelphia College Of Osteopathic Medicine in 1998
  NPI Data:
  • NPI Number: 1073516944
  • Provider Enumeration Date: 05/24/2005
  • Last Update Date: 04/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719943489
  • Enrollment ID: I20120213000083

Medical Identifiers

Medical identifiers for Mr John N Boll Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073516944NPI-NPPES
64052707MedicaidKY
1026698040001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VX0000XObstetrics & Gynecology - Obstetrics OS010395L (Pennsylvania)Secondary
207Q00000XFamily Medicine OS010395L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Williamsport Regional Medical CenterWilliamsport, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Susquehanna Physician Services2264336460492

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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. Mr John N Boll Jr allows following entities to bill medicare on his behalf.
Entity NameSusquehanna Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205870904
PECOS PAC ID: 2264336460
Enrollment ID: O20040225000410

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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. Mr John N Boll Jr 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
Mr John N Boll Jr, DO
1201 Grampian Blvd,
Williamsport, PA 17701-1900

Ph: () -
Mr John N Boll Jr, DO
740 High St, Suite 4001,
Williamsport, PA 17701-3100

Ph: (570) 321-2345

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Family Medicine Doctors in Williamsport, PA

Dr. Kathleen Claire Lewis,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1701 Four Mile Dr, Williamsport, PA 17701
Phone: 570-327-1000    Fax: 570-323-6079
Alexander Elli Nuique Jr., MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1205 River Avenue Fl 2, Williamsport, PA 17701
Phone: 570-326-4118    Fax: 570-326-5533
Jeffrey Verzella,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 740 High St, Suite 4001, Williamsport, PA 17701
Phone: 570-321-2345    
Courtney Leigh Goettel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 740 High St Ste 4001, Williamsport, PA 17701
Phone: 570-321-2345    
Lara Jaussi, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701
Phone: 570-320-7680    
Leeanna Lyne,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701
Phone: 570-320-7800    
Daniel R Conner, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 471 Hepburn St, Williamsport, PA 17701
Phone: 570-567-5400    

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