Courtney Leigh Boucke, NP in Grass Valley, CA

Courtney Leigh Boucke, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Grass Valley, California. Her current practice location is 300 Sierra College Dr Ste 105, Grass Valley, California. You can reach out to her office (for appointments etc.) via phone at (530) 273-3377.

Courtney Leigh Boucke is licensed to practice in California (license number 20879) 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 1831433119.

Contact Information

	Courtney Leigh Boucke, NP
	300 Sierra College Dr Ste 105, Grass Valley, CA 95945-5084
	(530) 273-3377
	(530) 273-3387

Map and Direction

Provider's Profile

Full Name	Courtney Leigh Boucke
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	300 Sierra College Dr Ste 105, Grass Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831433119
Provider Enumeration Date: 11/26/2012
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8426294307
Enrollment ID: I20130419000212

Medical Identifiers

Medical identifiers for Courtney Leigh Boucke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831433119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	20879 (California)	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. Courtney Leigh Boucke allows following entities to bill medicare on her behalf.

Entity Name	Neva Marie Monigatti Lake
Entity Type	Practitioner - Family Practice
Entity Identifiers	NPI Number: 1265487383 PECOS PAC ID: 0547201337 Enrollment ID: I20050523000367

Entity Name	Sierra Nevada Gastroenterology Medical Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407928641 PECOS PAC ID: 8325074669 Enrollment ID: O20050708000842

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. Courtney Leigh Boucke 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
Courtney Leigh Boucke, NP 300 Sierra College Dr Ste 105, Grass Valley, CA 95945-5084 Ph: (530) 273-3377	Courtney Leigh Boucke, NP 300 Sierra College Dr Ste 105, Grass Valley, CA 95945-5084 Ph: (530) 273-3377

Reviews and Comments

Nurse Practitioner Nurses in Grass Valley, CA

Renee Etienne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Crown Point Cir Ste 110, Grass Valley, CA 95945 Phone: 530-265-1450 Fax: 530-271-0837
Ms. Peggy Ballard Place, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10052 Alta Sierra Dr, Grass Valley, CA 95949 Phone: 530-477-9100
Ruth Elizabeth Cutter, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Catherine Ln, Suite I, Grass Valley, CA 95945 Phone: 530-274-4111 Fax: 530-274-4112
Kimberly A Elliott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 Sierra College Dr Ste 120, Grass Valley, CA 95945 Phone: 530-477-8358 Fax: 530-477-2015
Stacie La Jeunesse, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 844 Old Tunnel Rd, Grass Valley, CA 95945 Phone: 530-274-9762 Fax: 530-273-7255
Dr. Scott Wayne Perrenod, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Catherine Ln Ste F, Grass Valley, CA 95945 Phone: 888-966-2398 Fax: 888-966-2398
Genevieve Therese Buckley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 280 Sierra College Dr Ste 120, Grass Valley, CA 95945 Phone: 530-477-4480

Courtney Leigh Boucke, NP - Medicare Nurse Practitioner in Grass Valley, CA