Julia Bos, PA-C
Individual provider Active NPI Physician Assistant · Ada, MI
NPI 1144937822 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1144937822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601011461 (MI)
- Practice address
- 6741 Fulton St E
Ada, MI 49301-9502 - Phone
- (616) 320-5330
- NPI assigned
- Nov 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221117000987 | MI | Practitioner - Physician Assistant | 5799153094 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601011461 | MI | MD | Medical Physician Assistant |
Interoperability endpoints
- julia.bos.p23@direct.aara1.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601011461 | MI | Yes |
| Medical Physician Assistant | 363AM0700X | 5601011461 | MI |
Addresses
Primary practice location
6741 Fulton St E
Ada, MI 49301-9502
Mailing address
6741 Fulton St E
Ada, MI 49301-9502
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.