Mrs Gouni Lakoso Bouraima, PMHNP-BC is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Benson, Arizona. Her current practice location is
335 S Ocotillo Ave, Benson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 586-4040.
Mrs Gouni Lakoso Bouraima is licensed to practice in Arizona (license number 258158) 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 1427623990.
Physician's Profile
| Full Name | Mrs Gouni Lakoso Bouraima |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 335 S Ocotillo Ave, Benson, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427623990
- Provider Enumeration Date: 05/26/2021
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153798210
- Enrollment ID: I20221101003494
Medical Identifiers
Medical identifiers for Mrs Gouni Lakoso Bouraima such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427623990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 258158 (Arizona) | 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 Gouni Lakoso Bouraima allows following entities to bill medicare on her behalf.
| Entity Name | Pascua Yaqui Tribe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477868396
PECOS PAC ID: 7618033598
Enrollment ID: O20220120000627 |
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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 Gouni Lakoso Bouraima 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 |
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Mrs Gouni Lakoso Bouraima, PMHNP-BC
335 S Ocotillo Ave,
Benson, AZ 85602-6406
Ph: (520) 586-4040 | Mrs Gouni Lakoso Bouraima, PMHNP-BC
335 S Ocotillo Ave,
Benson, AZ 85602-6406
Ph: (520) 586-4040 |
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