Mrs Lara R Bouve, FNP - BC in San Diego, CA - Medicare Nurse Practitioner

Mrs Lara R Bouve, FNP - BC is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. She graduated from nursing school in 1997 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ut Regional One Physicians Inc and her current practice location is 4060 4th Ave, Suite 505, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 298-1318.

Mrs Lara R Bouve is licensed to practice in California (license number 20664) 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 1073750675.

Contact Information

	Mrs Lara R Bouve, FNP - BC
	4060 4th Ave, Suite 505, San Diego, CA 92103-2116
	(619) 298-1318
	(619) 298-0843

Map and Direction

Provider's Profile

Full Name	Mrs Lara R Bouve
Gender	Female
Speciality	Nurse Practitioner
Experience	28 Years
Location	4060 4th Ave, San Diego, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Lara R Bouve graduated from nursing school in 1997

NPI Data:

NPI Number: 1073750675
Provider Enumeration Date: 01/19/2009
Last Update Date: 02/03/2012

Medicare PECOS Information:

PECOS PAC ID: 4981642980
Enrollment ID: I20050420000845

Medical Identifiers

Medical identifiers for Mrs Lara R Bouve such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073750675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5985 (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	2222592 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	6980 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	20664 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Regional One Health	Memphis, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ut Regional One Physicians Inc	5698993418	277

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 Lara R Bouve allows following entities to bill medicare on her behalf.

Entity Name	Methodist Healthcare Community Care Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194839241 PECOS PAC ID: 0941113757 Enrollment ID: O20031107000488

Entity Name	First Choice Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023328978 PECOS PAC ID: 2466623558 Enrollment ID: O20110921000563

Entity Name	Ut Regional One Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662

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 Lara R Bouve 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 Lara R Bouve, FNP - BC 4060 4th Ave, Suite 505, San Diego, CA 92103-2116 Ph: (619) 298-1318	Mrs Lara R Bouve, FNP - BC 4060 4th Ave, Suite 505, San Diego, CA 92103-2116 Ph: (619) 298-1318

Reviews and Comments

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Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
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Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Mrs Lara R Bouve, FNP - BC - Medicare Nurse Practitioner in San Diego, CA