Nathalie Boulos, MD - Medicare Psychiatry in Waco, TX

Nathalie Boulos, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Waco, Texas. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Providence Health Alliance and her current practice location is 301 Londonderry Dr, Waco, Texas. You can reach out to her office (for appointments etc.) via phone at (254) 751-4880.

Nathalie Boulos is licensed to practice in Texas (license number S9270) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548714397.

Contact Information

Nathalie Boulos, MD
301 Londonderry Dr,
Waco, TX 76712-7915
(254) 751-4880
(254) 751-4885

Map and Direction




Physician's Profile

Full NameNathalie Boulos
GenderFemale
SpecialityPsychiatry
Experience10 Years
Location301 Londonderry Dr, Waco, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nathalie Boulos graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1548714397
  • Provider Enumeration Date: 08/10/2016
  • Last Update Date: 05/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880981620
  • Enrollment ID: I20210616003147

Medical Identifiers

Medical identifiers for Nathalie Boulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548714397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 2019024539 (Missouri)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry S9270 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health Alliance6305731068111

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. Nathalie Boulos allows following entities to bill medicare on her behalf.
Entity NameProvidence Health Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932210838
PECOS PAC ID: 6305731068
Enrollment ID: O20040220000307

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. Nathalie Boulos 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 AddressPractice Location Address
Nathalie Boulos, MD
301 Londonderry Dr,
Waco, TX 76712-7915

Ph: (254) 751-4880
Nathalie Boulos, MD
301 Londonderry Dr,
Waco, TX 76712-7915

Ph: (254) 751-4880

Reviews and Comments


Psychiatry & Neurology Doctors in Waco, TX

Dr. Jean Nerva Dortilus, M.D.
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Practice Location: 3500 Hillcrest Dr Ste 7, Waco, TX 76708
Phone: 254-424-9523    
Stephen G Howlett, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 405 Londonderry Dr, Suite 301b, Waco, TX 76712
Phone: 254-756-6875    Fax: 254-756-1334
Dr. Helen Ann Short, M.D.
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Phone: 254-745-5105    
Lance G Oberg, M. D.
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Practice Location: 7300 Bosque Blvd., Waco, TX 76710
Phone: 254-202-2600    Fax: 254-202-2650
Dahlia Garces, M.D.
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Practice Location: 4800 Memorial Dr, Waco, TX 76711
Phone: 254-297-3240    
Geoffrey May, M.D.
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Practice Location: 4800 Memorial Drive (151c), Waco, TX 76711
Phone: 231-679-0776    
Lisa Lynnette Falls, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1600 Providence Dr, Waco, TX 76707
Phone: 254-313-4200    Fax: 254-313-4531

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.