Angel Brown Boulware, FNP-C - Medicare Nurse Practitioner in Bethlehem, GA

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Angel Brown Boulware, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bethlehem, Georgia. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Cv Professional Services Llc and her current practice location is 2112 Botanical Cir Nw, Bethlehem, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 266-0181.

Angel Brown Boulware is licensed to practice in Georgia (license number RN172317) 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 1467704429.

Contact Information

Angel Brown Boulware, FNP-C
2112 Botanical Cir Nw,
Bethlehem, GA 30620-4732
(770) 266-0181
Not Available

Map and Direction




Provider's Profile

Full NameAngel Brown Boulware
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location2112 Botanical Cir Nw, Bethlehem, Georgia
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:
  • Angel Brown Boulware graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1467704429
  • Provider Enumeration Date: 10/15/2012
  • Last Update Date: 11/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1951523935
  • Enrollment ID: I20141106000863

Medical Identifiers

Medical identifiers for Angel Brown Boulware such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467704429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN172317 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital GwinnettLawrenceville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Cv Professional Services Llc488000377149

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. Angel Brown Boulware allows following entities to bill medicare on her behalf.
Entity NameGwinnett Cardiology Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306185491
PECOS PAC ID: 6406091248
Enrollment ID: O20130326000436
Entity NameNorthside Cv Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821612938
PECOS PAC ID: 4880003771
Enrollment ID: O20210505001504

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. Angel Brown Boulware 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
Angel Brown Boulware, FNP-C
2112 Botanical Cir Nw,
Bethlehem, GA 30620-4732

Ph: (770) 266-0181		Angel Brown Boulware, FNP-C
2112 Botanical Cir Nw,
Bethlehem, GA 30620-4732

Ph: (770) 266-0181

Reviews and Comments


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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.