Mrs Brianna Boulanger, APRN in Londonderry, NH

Mrs Brianna Boulanger, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Londonderry, New Hampshire. Her current practice location is 184 Mammoth Rd, Unit 4, Londonderry, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 473-4451.

Mrs Brianna Boulanger is licensed to practice in New Hampshire (license number 074103-23) 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 1013426048.

Contact Information

	Mrs Brianna Boulanger, APRN
	184 Mammoth Rd, Unit 4, Londonderry, NH 03053
	(603) 473-4451
	(603) 584-4822

Map and Direction

Provider's Profile

Full Name	Mrs Brianna Boulanger
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	184 Mammoth Rd, Londonderry, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013426048
Provider Enumeration Date: 09/21/2017
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 3971974825
Enrollment ID: I20230201000493

Medical Identifiers

Medical identifiers for Mrs Brianna Boulanger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013426048	NPI	-	NPPES
3139067	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	074103-23 (New Hampshire)	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 Brianna Boulanger allows following entities to bill medicare on her behalf.

Entity Name	Resonance Mental Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639818719 PECOS PAC ID: 2062883911 Enrollment ID: O20230201000463

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 Brianna Boulanger 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
Mrs Brianna Boulanger, APRN 184 Mammoth Rd, Unit 4, Londonderry, NH 03053 Ph: (603) 473-4451	Mrs Brianna Boulanger, APRN 184 Mammoth Rd, Unit 4, Londonderry, NH 03053 Ph: (603) 473-4451

Reviews and Comments

Nurse Practitioner Nurses in Londonderry, NH

Mrs. Stephanie Selleck, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Michels Way Ste 102, Londonderry, NH 03053 Phone: 603-537-1300
Joyce Anne Aliseo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Michels Way Ste 102, Londonderry, NH 03053 Phone: 603-537-1300 Fax: 603-845-1830
Jaclyn N Truland, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Buttrick Rd, Londonderry, NH 03053 Phone: 603-552-1400
Amy M Cullen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Nashua Rd Ste 301, Londonderry, NH 03053 Phone: 603-425-6494 Fax: 603-425-2048
Mrs. Debra J Corrigan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Buttrick Road, Elliot Internal Medicine At Londonderry, Londonderry, NH 03053 Phone: 603-434-1919 Fax: 603-434-7346
Mrs. Joan Ellen Romboli, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Commons Dr, Ste 24, Londonderry, NH 03053 Phone: 603-425-6494 Fax: 603-425-2048

Mrs Brianna Boulanger, APRN - Medicare Nurse Practitioner in Londonderry, NH