Mrs. Anita Boulom, PA-C
Mrs. Anita Boulom, PA-C is a Physician Assistant in Janesville, Wisconsin. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2020, 6 years ago. Practices with Mercy Health System Corporation, a 751-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 6
- Trained at
- University of North Texas Hsc, College of Osteopathic Med
- Licensed in
- WI
- In the registry since
- 2021
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
3400 Deerfield DrJanesville, WI 53546-3557
Phone: (608) 314-3600
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1000 Mineral Point Ave, Janesville, WI 53548-2940 — (608) 756-6000
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5192-23 (WI) |
|---|
Record details
| NPI number | 1184213555 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | January 11, 2021 |
| Last updated in NPPES | January 11, 2021 |
| Certification date | January 11, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED |
| Graduated | 2020 (6 years in practice) |
| Group practice | Mercy Health System Corporation — 751 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Janesville
-
Molly Susan Arttus
3200 E Racine St, Janesville, WI 53546-2343 · (608) 371-8000
-
Heather Clark, PA-C
3200 E Racine St, Janesville, WI 53546-2343 · (608) 371-8000
-
Stephanie R Curtis, PA-C
557 N Washington St, Janesville, WI 53548-2907 · (608) 754-6000
-
Alissa M Devos, PA-C
1000 Mineral Point Ave, Janesville, WI 53548-2940 · (608) 756-6000
-
Hanna R Doerr, PA-C
1000 Mineral Point Ave, Janesville, WI 53548-2940 · (608) 756-6049