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Marienida Boehn Patam, PA-C

NPI 1528224573ActiveIndividual· Physician Assistant· San Clemente, CA

Physician Assistant (PA-C) with Healthcare Partners Affiliates Medical Group, practicing in San Clemente, California. Their prescriptions cost Medicare Part D more than their services did: $46,506 for 1,884 claims, against $20,178 paid for services in 2024. Lists Memorialcare Saddleback Medical Center as a hospital affiliation.

Overview

NPI1528224573
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJul 30, 2008
Last updated in NPPESNov 24, 2025
Certified by providerNov 24, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA19828CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients141
Services billed297 across 27 procedure codes
Paid by Medicare$20,178

Part D prescriptions in 2024

Prescriptions (claims)1,884 · 3,819 30-day fills
Patients372
Total drug cost$46,506
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Graduation year2008
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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