Mrs Nicolle Boivin, CPNP-AC in Detroit, MI - Medicare Nurse Practitioner

Mrs Nicolle Boivin, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Detroit, Michigan. Her current practice location is 3950 Beaubien, Chm Spec Ctr. Garden Level, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 832-8871.

Mrs Nicolle Boivin is licensed to practice in Michigan (license number 4704253133) 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 1639611916.

Contact Information

	Mrs Nicolle Boivin, CPNP-AC
	3950 Beaubien, Chm Spec Ctr. Garden Level, Detroit, MI 48201
	(313) 832-8871
	(313) 745-3012

Map and Direction

Provider's Profile

Full Name	Mrs Nicolle Boivin
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3950 Beaubien, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639611916
Provider Enumeration Date: 11/17/2016
Last Update Date: 08/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6709148638
Enrollment ID: I20180313000686

Medical Identifiers

Medical identifiers for Mrs Nicolle Boivin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639611916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	4704253133 (Michigan)	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 Nicolle Boivin allows following entities to bill medicare on her behalf.

Entity Name	University Pediatricians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125

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 Nicolle Boivin 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 Nicolle Boivin, CPNP-AC 4201 St. Antoine, University Pediatricians Uhc 5d Mailbox#, Detroit, MI 48201 Ph: (313) 966-5051	Mrs Nicolle Boivin, CPNP-AC 3950 Beaubien, Chm Spec Ctr. Garden Level, Detroit, MI 48201 Ph: (313) 832-8871

Reviews and Comments

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Mrs Nicolle Boivin, CPNP-AC - Medicare Nurse Practitioner in Detroit, MI