Ms Amy R Bohm, PNP in Wentzville, MO - Medicare Nurse Practitioner

Ms Amy R Bohm, PNP is a medicare enrolled "Nurse Practitioner" in Wentzville, Missouri. Her current practice location is 1520 Wentzville Pkwy, Wentzville, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 497-4055.

Ms Amy R Bohm is licensed to practice in Missouri (license number 2016033617) 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 1326426560.

Contact Information

	Ms Amy R Bohm, PNP
	1520 Wentzville Pkwy, Wentzville, MO 63385-3408
	(636) 497-4055
	(636) 344-1069

Map and Direction

Provider's Profile

Full Name	Ms Amy R Bohm
Gender	Female
Speciality	Nurse Practitioner
Location	1520 Wentzville Pkwy, Wentzville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326426560
Provider Enumeration Date: 05/08/2015
Last Update Date: 01/22/2025

Medicare PECOS Information:

PECOS PAC ID: 8820464852
Enrollment ID: I20221017002235

Medical Identifiers

Medical identifiers for Ms Amy R Bohm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326426560	NPI	-	NPPES
420039759	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	2016033617 (Missouri)	Secondary
363L00000X	Nurse Practitioner	2016033617 (Missouri)	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. Ms Amy R Bohm allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287

Entity Name	Mercy Aco Clinical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888

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. Ms Amy R Bohm 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
Ms Amy R Bohm, PNP Po Box 959354, Saint Louis, MO 63195-0352 Ph: (636) 497-4055	Ms Amy R Bohm, PNP 1520 Wentzville Pkwy, Wentzville, MO 63385-3408 Ph: (636) 497-4055

Reviews and Comments

Nurse Practitioner Nurses in Wentzville, MO

Ebitari 0 Fregene, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Golden Gate Pkwy, Wentzville, MO 63385 Phone: 314-397-7219
Jordan Lee Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Creekside Office Dr, Wentzville, MO 63385 Phone: 636-625-5200
Eileen Royal, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1890 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-887-2667
Monica Washburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1603 Wentzville Pkwy, Wentzville, MO 63385 Phone: 844-776-7200
Elizabeth Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-887-3020 Fax: 636-887-3022
Abigail Marie Anderson Schroer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1598 W Meyer Rd, Wentzville, MO 63385 Phone: 636-332-8228
Mrs. Patricia Ann Rapplean, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Dr, 106, Wentzville, MO 63385 Phone: 636-639-6262 Fax: 636-639-1375

Ms Amy R Bohm, PNP - Medicare Nurse Practitioner in Wentzville, MO