Krista D Bolanger, PA - Medicare Physician Assistant in Dayton, OH

Krista D Bolanger, PA is a medicare enrolled "Physician Assistant - Medical" in Dayton, Ohio. Her current practice location is 9000 N Main St, Suite 227, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 832-4773.

Krista D Bolanger is licensed to practice in Ohio (license number 50 002179) 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 1073651337.

Contact Information

Krista D Bolanger, PA
9000 N Main St, Suite 227,
Dayton, OH 45415-1180
(937) 832-4773
(937) 832-2986



Provider's Profile

Full NameKrista D Bolanger
GenderFemale
SpecialityPhysician Assistant - Medical
Location9000 N Main St, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073651337
  • Provider Enumeration Date: 02/01/2007
  • Last Update Date: 10/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5597733832
  • Enrollment ID: I20040923000700

Medical Identifiers

Medical identifiers for Krista D Bolanger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073651337NPI-NPPES
0067813MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 50 002179 (Ohio)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. Krista D Bolanger 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
Krista D Bolanger, PA
9000 N Main St, Suite 227,
Dayton, OH 45415-1180

Ph: (937) 832-4773
Krista D Bolanger, PA
9000 N Main St, Suite 227,
Dayton, OH 45415-1180

Ph: (937) 832-4773

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Physician Assistant Nurses in Dayton, OH

Nicole Lynne-bendt Scott,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-3600    Fax: 937-641-5802
Cody Mcmillan,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-3000    
Annemarie Rose Underwood, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Dayton, OH 45429
Phone: 937-395-8166    
Mr. Douglas W Johnson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Elizabeth Pl, 4th Floor, Dayton, OH 45408
Phone: 937-221-7001    Fax: 937-224-5307
Kathleen A. Rowell, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4100 W 3rd St, Dayton, OH 45428
Phone: 937-268-6511    
Jessica Lynn Galli Robertson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 E Apple St Ste 5254a, Dayton, OH 45409
Phone: 937-208-4200    Fax: 937-208-4205
Caroline Mccomb, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4160 Little York Rd Ste 10, Dayton, OH 45414
Phone: 937-415-9100    

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