Elijah Boothe, FNP-C is a
Nurse Practitioner - Family based in Harrisonburg, Louisiana. Elijah Boothe is licensed to practice in Louisiana (license number AP07815) and his current practice location is
499 Old Columbia Rd, Harrisonburg, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 744-2121.
NPI number for Elijah Boothe is 1568824019 and his current mailing address is 192 Bastille Ln, Suite 200, Ruston, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568824019.
Provider's Profile
Full Name | Elijah Boothe |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 499 Old Columbia Rd, Harrisonburg, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568824019
- Provider Enumeration Date: 03/23/2016
- Last Update Date: 03/23/2016
Medical Identifiers
Medical identifiers for Elijah Boothe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568824019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN132128 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP07815 (Louisiana) | Primary |
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. Elijah Boothe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elijah Boothe, FNP-C 192 Bastille Ln, Suite 200, Ruston, LA 71270-7149 Ph: (318) 475-0779 | Elijah Boothe, FNP-C 499 Old Columbia Rd, Harrisonburg, LA 71340-3001 Ph: (318) 744-2121 |
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