Miriam Boulay, CRNA in Marietta, GA - Medicare Nurse Anesthetist, Certified Registered

Miriam Boulay, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Marietta, Georgia. Her current practice location is 2540 Windy Hill Rd Se, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 644-1274.

Miriam Boulay is licensed to practice in Georgia (license number RN250948) 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 1215786785.

Contact Information

	Miriam Boulay, CRNA
	2540 Windy Hill Rd Se, Marietta, GA 30067-8605
	(470) 644-1274
	(470) 644-1119

Map and Direction

Provider's Profile

Full Name	Miriam Boulay
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2540 Windy Hill Rd Se, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215786785
Provider Enumeration Date: 05/16/2024
Last Update Date: 06/12/2024

Medicare PECOS Information:

PECOS PAC ID: 5991241747
Enrollment ID: I20240729002210

Medical Identifiers

Medical identifiers for Miriam Boulay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215786785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN250948 (Georgia)	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. Miriam Boulay allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Miriam Boulay 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
Miriam Boulay, CRNA 6791 Fairway Ridge Dr, Douglasville, GA 30134-1713 Ph: (774) 444-0057	Miriam Boulay, CRNA 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 Ph: (470) 644-1274

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Marietta, GA

Devin Horton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477
Mrs. Melissa D. Limonta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2540 Windy Hill Rd Se, Marietta, GA 30067 Phone: 470-644-1274 Fax: 470-644-1119
Mr. Wesley Eric Karcher, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1545 Powers Ferry Rd Se Ste 120, Marietta, GA 30067 Phone: 770-580-0979 Fax: 678-383-6735
Ashley Fitzgerald Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 757-339-9356
Nancy Uhrich, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Russell L. Branch Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 531 Roselane St Nw, Suite 830, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Brady James Flores Banares, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108

Miriam Boulay, CRNA - Medicare Nurse Anesthetist, Certified Registered in Marietta, GA