Mrs Linda Georgette Boulware, APRN - Medicare Nurse Practitioner in Chicago, IL

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Mrs Linda Georgette Boulware, APRN is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physician Services Corporation Of Southern Illinois Inc, Specialized Wound Management Llc and her current practice location is 2045 W Grand Ave Ste B, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 660-4425.

Mrs Linda Georgette Boulware is licensed to practice in Illinois (license number 209.022606) 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 1063000669.

Contact Information

Mrs Linda Georgette Boulware, APRN
2045 W Grand Ave Ste B,
Chicago, IL 60612-1577
(888) 660-4425
Not Available

Map and Direction




Provider's Profile

Full NameMrs Linda Georgette Boulware
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location2045 W Grand Ave Ste B, Chicago, Illinois
Accepts Medicare AssignmentsYes. 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 Linda Georgette Boulware graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1063000669
  • Provider Enumeration Date: 01/08/2021
  • Last Update Date: 01/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769897701
  • Enrollment ID: I20210224002422

Medical Identifiers

Medical identifiers for Mrs Linda Georgette Boulware such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063000669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.022606 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Services Corporation Of Southern Illinois Inc9234022567100
Specialized Wound Management Llc42846281734

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 Linda Georgette Boulware allows following entities to bill medicare on her behalf.
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583
Entity NameSpecialized Wound Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962430157
PECOS PAC ID: 4284628173
Enrollment ID: O20040505000688
Entity NamePerspective Behavioral And Pain Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326671702
PECOS PAC ID: 1951732106
Enrollment ID: O20200504001274

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 Linda Georgette Boulware 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 AddressPractice Location Address
Mrs Linda Georgette Boulware, APRN
1591 Abbott St,
Carlyle, IL 62231-1107

Ph: (618) 741-8431		Mrs Linda Georgette Boulware, APRN
2045 W Grand Ave Ste B,
Chicago, IL 60612-1577

Ph: (888) 660-4425

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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