Ailette Maria Lopez Boudet, FNPBC is a medicare enrolled "Nurse Practitioner - Family" physician in Miami, Florida. Her current practice location is
9365 Fontainebleau Blvd Apt E201, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 518-5468.
Ailette Maria Lopez Boudet is licensed to practice in Florida (license number APRN9400356) 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 1043798176.
Physician's Profile
Full Name | Ailette Maria Lopez Boudet |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 9365 Fontainebleau Blvd Apt E201, Miami, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043798176
- Provider Enumeration Date: 07/31/2018
- Last Update Date: 02/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 7719213412
- Enrollment ID: I20190801000701
Medical Identifiers
Medical identifiers for Ailette Maria Lopez Boudet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043798176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 9400356 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN9400356 (Florida) | Primary |
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. Ailette Maria Lopez Boudet allows following entities to bill medicare on her behalf.
Entity Name | Primehealth Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871838193 PECOS PAC ID: 0042456907 Enrollment ID: O20130419000053 |
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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. Ailette Maria Lopez Boudet 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 Address | Practice Location Address |
Ailette Maria Lopez Boudet, FNPBC 9365 Fontainebleau Blvd Apt E201, Miami, FL 33172-4643 Ph: (786) 518-5468 | Ailette Maria Lopez Boudet, FNPBC 9365 Fontainebleau Blvd Apt E201, Miami, FL 33172-4643 Ph: (786) 518-5468 |
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