Martha Nanette Boochie, PMHNP in Rancho Cucamonga, CA

Martha Nanette Boochie, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rancho Cucamonga, California. Her current practice location is 9089 Base Line Rd Ste 200, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at (909) 980-3567.

Martha Nanette Boochie is licensed to practice in California (license number 95029865) 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 1083463996.

Contact Information

	Martha Nanette Boochie, PMHNP
	9089 Base Line Rd Ste 200, Rancho Cucamonga, CA 91730-1295
	(909) 980-3567
	(909) 989-3932

Map and Direction

Provider's Profile

Full Name	Martha Nanette Boochie
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9089 Base Line Rd Ste 200, Rancho Cucamonga, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083463996
Provider Enumeration Date: 05/14/2024
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 5698213031
Enrollment ID: I20240815002772

Medical Identifiers

Medical identifiers for Martha Nanette Boochie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083463996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95029865 (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. Martha Nanette Boochie allows following entities to bill medicare on her behalf.

Entity Name	Health Service Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801307368 PECOS PAC ID: 4587642467 Enrollment ID: O20040708000369

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. Martha Nanette Boochie 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
Martha Nanette Boochie, PMHNP 11228 Nashville Ave, Whittier, CA 90604-2150 Ph: (562) 900-4939	Martha Nanette Boochie, PMHNP 9089 Base Line Rd Ste 200, Rancho Cucamonga, CA 91730-1295 Ph: (909) 980-3567

Reviews and Comments

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Martha Nanette Boochie, PMHNP - Medicare Nurse Practitioner in Rancho Cucamonga, CA