Stacey Boehm, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in West Hempstead, New York. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice North Shore - Lij Anesthesiology, Pc and her current practice location is
222 Nassau Blvd, West Hempstead, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 287-6064.
Stacey Boehm is licensed to practice in New York (license number 6368211) 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 1609225788.
Provider's Profile
| Full Name | Stacey Boehm |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 8 Years |
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| Location | 222 Nassau Blvd, West Hempstead, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacey Boehm graduated from nursing school in 2016
NPI Data:
- NPI Number: 1609225788
- Provider Enumeration Date: 06/08/2016
- Last Update Date: 06/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 8820376361
- Enrollment ID: I20161103000700
Medical Identifiers
Medical identifiers for Stacey Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609225788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 6368211 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore - Lij Anesthesiology, Pc | 1153602453 | 796 |
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. Stacey Boehm allows following entities to bill medicare on her behalf.
| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851456701
PECOS PAC ID: 1355232422
Enrollment ID: O20040329001569 |
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| Entity Name | North Shore - Lij Anesthesiology, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417401266
PECOS PAC ID: 1153602453
Enrollment ID: O20161228001498 |
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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. Stacey Boehm 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 |
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Stacey Boehm,
222 Nassau Blvd,
West Hempstead, NY 11552-2220
Ph: (516) 287-6064 | Stacey Boehm,
222 Nassau Blvd,
West Hempstead, NY 11552-2220
Ph: (516) 287-6064 |
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