Susan K Boolbol, MD - Medicare General Surgery in Poughkeepsie, NY

Susan K Boolbol, MD is a medicare enrolled "Surgery" physician in Poughkeepsie, New York. She went to George Washington University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Nuvance Health Medical Practice, Pc and her current practice location is 45 Reade Pl, Poughkeepsie, New York. You can reach out to her office (for appointments etc.) via phone at (845) 214-1837.

Susan K Boolbol is licensed to practice in New York (license number 2101701) 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 1154305720.

Contact Information

Susan K Boolbol, MD
45 Reade Pl,
Poughkeepsie, NY 12601-3947
(845) 214-1837
Not Available



Physician's Profile

Full NameSusan K Boolbol
GenderFemale
SpecialityGeneral Surgery
Experience30 Years
Location45 Reade Pl, Poughkeepsie, New York
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:
  • Susan K Boolbol attended and graduated from George Washington University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1154305720
  • Provider Enumeration Date: 12/06/2005
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264510759
  • Enrollment ID: I20080424000184

Medical Identifiers

Medical identifiers for Susan K Boolbol such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154305720NPI-NPPES
02169877MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 67054 (Connecticut)Secondary
208600000XSurgery 2101701 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vassar Brothers Medical CenterPoughkeepsie, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nuvance Health Medical Practice, Pc1658468442441

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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. Susan K Boolbol allows following entities to bill medicare on her behalf.
Entity NameNuvance Health Medical Practice, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437358033
PECOS PAC ID: 1658468442
Enrollment ID: O20071025000436

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Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770823551
PECOS PAC ID: 2264691070
Enrollment ID: O20131220001018

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Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104295716
PECOS PAC ID: 4486955267
Enrollment ID: O20151221001450

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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. Susan K Boolbol 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
Susan K Boolbol, MD
21 Reade Pl Ste 2100,
Poughkeepsie, NY 12601-3968

Ph: (845) 214-1837
Susan K Boolbol, MD
45 Reade Pl,
Poughkeepsie, NY 12601-3947

Ph: (845) 214-1837

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Surgery Doctors in Poughkeepsie, NY

Dr. Herminio Diaz, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 241 North Rd # A, Poughkeepsie, NY 12601
Phone: 845-483-5000    
Cheng Ng, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601
Phone: 845-790-1317    
Mark K Hirko, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 21 Reade Pl Ste 3100, Poughkeepsie, NY 12601
Phone: 845-214-1800    
Dr. Joseph J Fulton, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 241 North Rd, Poughkeepsie, NY 12601
Phone: 845-483-5934    
Dr. Michael Llewellyn Ormont, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 21 Fox St Ste 104, Poughkeepsie, NY 12601
Phone: 845-431-2400    
Kang K Kim, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1 Webster Ave, Suite 307, Poughkeepsie, NY 12601
Phone: 845-471-1002    Fax: 845-471-1003

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