Mary Theresia Bosman, APRN is a medicare enrolled "Nurse Practitioner - Family" in Sanford, Michigan. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Spring Street Family Practice and her current practice location is
1180 W Nielson Rd, Sanford, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 687-7196.
Mary Theresia Bosman is licensed to practice in Michigan (license number 4704120935) 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 1821457854.
Provider's Profile
| Full Name | Mary Theresia Bosman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 21 Years |
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| Location | 1180 W Nielson Rd, Sanford, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Theresia Bosman graduated from nursing school in 2003
NPI Data:
- NPI Number: 1821457854
- Provider Enumeration Date: 02/18/2016
- Last Update Date: 02/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 9133493976
- Enrollment ID: I20170918003247
Medical Identifiers
Medical identifiers for Mary Theresia Bosman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821457854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4704120935 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Spring Street Family Practice | 2961471594 | 2 |
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. Mary Theresia Bosman allows following entities to bill medicare on her behalf.
| Entity Name | Spring Street Family Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083790026
PECOS PAC ID: 2961471594
Enrollment ID: O20040929001087 |
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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. Mary Theresia Bosman 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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Mary Theresia Bosman, APRN
1180 W Nielson Rd,
Sanford, MI 48657-9604
Ph: (989) 687-7196 | Mary Theresia Bosman, APRN
1180 W Nielson Rd,
Sanford, MI 48657-9604
Ph: (989) 687-7196 |
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