Nicole Suzanne Boersma, MD is a medicare enrolled "General Practice" physician in Greensburg, Indiana. She went to Indiana University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Decatur County Memorial Hospital and her current practice location is
718 N Lincoln St, Greensburg, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 662-0588.
Nicole Suzanne Boersma is licensed to practice in Indiana (license number 01062609A) 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 1598981391.
Physician's Profile
Full Name | Nicole Suzanne Boersma |
---|
Gender | Female |
---|
Speciality | General Practice |
---|
Experience | 19 Years |
---|
Location | 718 N Lincoln St, Greensburg, Indiana |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nicole Suzanne Boersma attended and graduated from Indiana University School Of Medicine in 2005
NPI Data:
- NPI Number: 1598981391
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 03/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 1254416126
- Enrollment ID: I20080318000019
Medical Identifiers
Medical identifiers for Nicole Suzanne Boersma such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598981391 | NPI | - | NPPES |
200889340 | Medicaid | IN | |
P01447581 | Other | IN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 01062609A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Decatur County Memorial Hospital | 7315837671 | 45 |
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. Nicole Suzanne Boersma allows following entities to bill medicare on her behalf.
Entity Name | Meridian Health Services Corp |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531 |
---|
Entity Name | Decatur County Memorial Hospital |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1952300477 PECOS PAC ID: 7315837671 Enrollment ID: O20040318001580 |
---|
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. Nicole Suzanne Boersma 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 |
Nicole Suzanne Boersma, MD 718 N Lincoln St, Greensburg, IN 47240-1348 Ph: (812) 662-0588 | Nicole Suzanne Boersma, MD 718 N Lincoln St, Greensburg, IN 47240-1348 Ph: (812) 662-0588 |
Reviews and Comments