Ellen Marie Boersma, NP in Lakeport, CA - Medicare Nurse Practitioner

Ellen Marie Boersma, NP is a medicare enrolled "Nurse Practitioner" in Lakeport, California. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 5150 Hill Rd E, #f, Lakeport, California. You can reach out to her office (for appointments etc.) via phone at (707) 262-3060.

Ellen Marie Boersma is licensed to practice in California (license number 18609) 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 1265684633.

Contact Information

	Ellen Marie Boersma, NP
	5150 Hill Rd E, #f, Lakeport, CA 95453-5101
	(707) 262-3060
	Not Available

Map and Direction

Provider's Profile

Full Name	Ellen Marie Boersma
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	5150 Hill Rd E, Lakeport, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellen Marie Boersma graduated from nursing school in 2008

NPI Data:

NPI Number: 1265684633
Provider Enumeration Date: 10/16/2008
Last Update Date: 10/16/2008

Medicare PECOS Information:

PECOS PAC ID: 9032270061
Enrollment ID: I20081209000198

Medical Identifiers

Medical identifiers for Ellen Marie Boersma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265684633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	18609 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital
Sutter Lakeside Hospital	Lakeport, CA	Hospital
Adventist Health Clearlake	Clearlake, CA	Hospital
Adventist Health Ukiah Valley	Ukiah, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1312

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. Ellen Marie Boersma allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Ellen Marie Boersma 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
Ellen Marie Boersma, NP 5150 Hill Rd E, #f, Lakeport, CA 95453-5101 Ph: (707) 262-3060	Ellen Marie Boersma, NP 5150 Hill Rd E, #f, Lakeport, CA 95453-5101 Ph: (707) 262-3060

Reviews and Comments

Nurse Practitioner Nurses in Lakeport, CA

Shaye Larie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382
Pamela Balch Maes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844
Charissa M Barsos, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-5019
Ms. Patricia Lynn Sanders, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd East, Lakeport, CA 95453 Phone: 707-262-5088 Fax: 707-262-5135
Naah N/a Allotey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 487 S Main St, Lakeport, CA 95453 Phone: 707-263-4360 Fax: 707-253-4036
Florencia Karina Miranda Chumpitaz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 359 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-513-6002

Ellen Marie Boersma, NP - Medicare Nurse Practitioner in Lakeport, CA