Joan O Bovard, APRN FNP-BC is a medicare enrolled "Nurse Practitioner" in Southgate, Kentucky. Her current practice location is
525 Alexandria Pike, Suite 300, Southgate, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 781-2210.
Joan O Bovard is licensed to practice in Kentucky (license number 3009017) 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 1053715516.
Provider's Profile
| Full Name | Joan O Bovard |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 525 Alexandria Pike, Southgate, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053715516
- Provider Enumeration Date: 10/13/2014
- Last Update Date: 09/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 2769704071
- Enrollment ID: I20150306002273
Medical Identifiers
Medical identifiers for Joan O Bovard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053715516 | NPI | - | NPPES |
| 7100339070 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | COA.16659-NP (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | 3009017 (Kentucky) | 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. Joan O Bovard allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
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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. Joan O Bovard 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 |
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Joan O Bovard, APRN FNP-BC
Po Box 635283,
Cincinnati, OH 45263-5283
Ph: (849) 212-5478 | Joan O Bovard, APRN FNP-BC
525 Alexandria Pike, Suite 300,
Southgate, KY 41071
Ph: (859) 781-2210 |
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