Tiffany Lee Boulanger, AGACNP in Savannah, GA

Tiffany Lee Boulanger, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Savannah, Georgia. Her current practice location is 12345 Mercy Blvd, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 927-3046.

Tiffany Lee Boulanger is licensed to practice in Georgia (license number 236517) 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 1700308509.

Contact Information

	Tiffany Lee Boulanger, AGACNP
	12345 Mercy Blvd, Savannah, GA 31419-3436
	(912) 927-3046
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Lee Boulanger
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	12345 Mercy Blvd, Savannah, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700308509
Provider Enumeration Date: 07/13/2017
Last Update Date: 08/14/2017

Medicare PECOS Information:

PECOS PAC ID: 4981978376
Enrollment ID: I20170925000300

Medical Identifiers

Medical identifiers for Tiffany Lee Boulanger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700308509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	236517 (Georgia)	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. Tiffany Lee Boulanger allows following entities to bill medicare on her behalf.

Entity Name	Leewood Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023416674 PECOS PAC ID: 7719204429 Enrollment ID: O20150410001714

Entity Name	Pruitthealth Physicians Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256

Entity Name	Twelvestone Infusion Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447764857 PECOS PAC ID: 6800151424 Enrollment ID: O20201006002539

Entity Name	Renew Wound Care Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245907971 PECOS PAC ID: 8426454133 Enrollment ID: O20210903002161

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. Tiffany Lee Boulanger 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
Tiffany Lee Boulanger, AGACNP 7400 Abercorn Street, Ste 704 Box 104, Savannah, GA 31406-2454 Ph: (912) 232-9700	Tiffany Lee Boulanger, AGACNP 12345 Mercy Blvd, Savannah, GA 31419-3436 Ph: (912) 927-3046

Reviews and Comments

Nurse Practitioner Nurses in Savannah, GA

Glenda Laine Eloge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5353 Reynolds St, Ste 300, Savannah, GA 31405 Phone: 912-355-6005 Fax: 912-355-5643
Ms. Deborah Evelyn Kemp, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1302 Drayton St, Savannah, GA 31401 Phone: 912-443-9409 Fax: 912-443-1843
Deanna M Wildes, RN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Avenue, Suite 500, Savannah, GA 31404 Phone: 912-352-8346 Fax: 912-355-1414
Abegail Delez Xiang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Abercorn St, Savannah, GA 31405 Phone: 912-352-8700 Fax: 912-650-6805
Jackie M Kehrli, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 202, Savannah, GA 31404 Phone: 912-350-7412 Fax: 912-350-7297
Caroline Shealy Sauers, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6602 Waters Ave Bldg C, Savannah, GA 31406 Phone: 912-354-7676 Fax: 912-354-6040
Stacy Eagle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6602 Waters Ave, Savannah, GA 31406 Phone: 912-354-7676

Tiffany Lee Boulanger, AGACNP - Medicare Nurse Practitioner in Savannah, GA