Mrs Ann Boomer, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" physician in Bangor, Maine. Her current practice location is
Nicu Professional Services Emmc, 489 State Street, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 973-8670.
Mrs Ann Boomer is licensed to practice in Maine (license number CNP81620) 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 1245267335.
Physician's Profile
Full Name | Mrs Ann Boomer |
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Gender | Female |
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Speciality | Nurse Practitioner - Neonatal |
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Location | Nicu Professional Services Emmc, Bangor, Maine |
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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: 1245267335
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729044698
- Enrollment ID: I20041203000035
Medical Identifiers
Medical identifiers for Mrs Ann Boomer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245267335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | R048086 (Maine) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | CNP81620 (Maine) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | CNP81620 (Maine) | 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. Mrs Ann Boomer allows following entities to bill medicare on her behalf.
Entity Name | Eastern Maine Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
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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. Mrs Ann Boomer 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 |
Mrs Ann Boomer, NNP 43 Whiting Hill Rd Ste 300, Brewer, ME 04412-1006 Ph: (207) 973-5000 | Mrs Ann Boomer, NNP Nicu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404 Ph: (207) 973-8670 |
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