Christy S Boulos, APRN in Omaha, NE - Medicare Nurse Practitioner

Christy S Boulos, APRN is a medicare enrolled "Nurse Practitioner - Community Health" in Omaha, Nebraska. Her current practice location is 2915 Grant St, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 457-1200.

Christy S Boulos is licensed to practice in Nebraska (license number 111312) 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 1407131543.

Contact Information

	Christy S Boulos, APRN
	2915 Grant St, Omaha, NE 68111-3863
	(402) 457-1200
	(402) 457-1210

Map and Direction

Provider's Profile

Full Name	Christy S Boulos
Gender	Female
Speciality	Nurse Practitioner - Community Health
Location	2915 Grant St, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407131543
Provider Enumeration Date: 10/20/2011
Last Update Date: 10/20/2011

Medicare PECOS Information:

PECOS PAC ID: 7315104908
Enrollment ID: I20120209000470

Medical Identifiers

Medical identifiers for Christy S Boulos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407131543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC1500X	Nurse Practitioner - Community Health	111312 (Nebraska)	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. Christy S Boulos allows following entities to bill medicare on her behalf.

Entity Name	Charles Drew Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255302170 PECOS PAC ID: 9830170653 Enrollment ID: O20040527000621

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. Christy S 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 Address	Practice Location Address
Christy S Boulos, APRN 8988 North 79th Street, Omaha, NE 68122-4000 Ph: () -	Christy S Boulos, APRN 2915 Grant St, Omaha, NE 68111-3863 Ph: (402) 457-1200

Reviews and Comments

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Christy S Boulos, APRN - Medicare Nurse Practitioner in Omaha, NE