Ms Patricia Ann Boullie, CNM in Astoria, OR - Medicare Advanced Practice Midwife

Ms Patricia Ann Boullie, CNM is a medicare enrolled "Advanced Practice Midwife" in Astoria, Oregon. Her current practice location is 550 22nd St, Astoria, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 338-7595.

Ms Patricia Ann Boullie is licensed to practice in Oregon (license number 096007245ZN5) 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 1629142591.

Contact Information

	Ms Patricia Ann Boullie, CNM
	550 22nd St, Astoria, OR 97103-3312
	(503) 338-7595
	(503) 325-4905

Map and Direction

Provider's Profile

Full Name	Ms Patricia Ann Boullie
Gender	Female
Speciality	Advanced Practice Midwife
Location	550 22nd St, Astoria, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629142591
Provider Enumeration Date: 11/20/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8628247004
Enrollment ID: I20110802000440

Medical Identifiers

Medical identifiers for Ms Patricia Ann Boullie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629142591	NPI	-	NPPES
096009245ZN5	Other	OR	NURSING LICENSE NUMBER
83621	Medicaid	OR
9618216	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	096007245ZN5 (Oregon)	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. Ms Patricia Ann Boullie allows following entities to bill medicare on her behalf.

Entity Name	Columbia Lutheran Charities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20040202000073

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. Ms Patricia Ann Boullie 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
Ms Patricia Ann Boullie, CNM 35242 Kee Ln, Astoria, OR 97103-8314 Ph: (503) 325-4264	Ms Patricia Ann Boullie, CNM 550 22nd St, Astoria, OR 97103-3312 Ph: (503) 338-7595

Reviews and Comments

Advanced Practice Midwife Nurses in Astoria, OR

Mrs. Corinne Almquist Reeves, CNM, WHNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-7595 Fax: 503-325-4906
Rebecca Ruth Barlow, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1406 Marine Dr, Astoria, OR 97103 Phone: 509-539-3985
Charity Clark Mcdaniel, RN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-7595 Fax: 503-325-4905

Ms Patricia Ann Boullie, CNM - Medicare Advanced Practice Midwife in Astoria, OR