Mrs Connie Renee Boehman, FNP-C in North Charleston, SC

Mrs Connie Renee Boehman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in North Charleston, South Carolina. Her current practice location is 4105 Faber Place Dr Ste 120, North Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (855) 882-3901.

Mrs Connie Renee Boehman is licensed to practice in North Carolina (license number 5010480) 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 1679931778.

Contact Information

	Mrs Connie Renee Boehman, FNP-C
	4105 Faber Place Dr Ste 120, North Charleston, SC 29405-8594
	(855) 882-3901
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Connie Renee Boehman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4105 Faber Place Dr Ste 120, North Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679931778
Provider Enumeration Date: 02/03/2016
Last Update Date: 06/13/2022

Medicare PECOS Information:

PECOS PAC ID: 5597839712
Enrollment ID: I20160412002583

Medical Identifiers

Medical identifiers for Mrs Connie Renee Boehman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679931778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71006571A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	3010041 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	5010480 (North Carolina)	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. Mrs Connie Renee Boehman allows following entities to bill medicare on her behalf.

Entity Name	Molina Care Connections Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20211213002465

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. Mrs Connie Renee Boehman 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
Mrs Connie Renee Boehman, FNP-C 3923 Cross Creek Trl, Owensboro, KY 42303-1895 Ph: (812) 719-9414	Mrs Connie Renee Boehman, FNP-C 4105 Faber Place Dr Ste 120, North Charleston, SC 29405-8594 Ph: (855) 882-3901

Reviews and Comments

Nurse Practitioner Nurses in North Charleston, SC

Mr. Richard Dale Brinson, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-847-4595
Kimberly Lynn Rhoton, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4050 Bridge View Dr, Suite 500, Perimeter Center, North Charleston, SC 29405 Phone: 843-746-4030
Whitney Naramore Huff, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4975 Lacross Rd Ste 110, North Charleston, SC 29406 Phone: 843-797-1941 Fax: 843-574-1698
Mrs. Dodi Lynn Baum, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9267 Medical Plaza Dr Ste G, North Charleston, SC 29406 Phone: 843-797-3636
Tina Withrow, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2910 Tricom St, North Charleston, SC 29406 Phone: 843-572-9211 Fax: 843-572-0457
Hannah Dweikat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4920 Ohear Ave Ste 101, North Charleston, SC 29405 Phone: 843-856-3784
Madison Sheheane, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8471 Resolute Way Ste 102, North Charleston, SC 29420 Phone: 843-876-2879

Mrs Connie Renee Boehman, FNP-C - Medicare Nurse Practitioner in North Charleston, SC