Traci C Boullion, AGNP-C in Marietta, GA - Medicare Nurse Practitioner

Traci C Boullion, AGNP-C is a medicare enrolled "Nurse Practitioner" in Marietta, Georgia. 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 Acute Care Surgery Medical Group Inc and her current practice location is 55 Whitcher St Ne Ste 130, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 428-0462.

Traci C Boullion is licensed to practice in Georgia (license number RN196865) 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 1568096279.

Contact Information

	Traci C Boullion, AGNP-C
	55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156
	(770) 428-0462
	(770) 427-8001

Map and Direction

Provider's Profile

Full Name	Traci C Boullion
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	55 Whitcher St Ne Ste 130, Marietta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Traci C Boullion graduated from nursing school in 2019

NPI Data:

NPI Number: 1568096279
Provider Enumeration Date: 03/03/2020
Last Update Date: 06/01/2021

Medicare PECOS Information:

PECOS PAC ID: 2466869771
Enrollment ID: I20210405001254

Medical Identifiers

Medical identifiers for Traci C Boullion such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568096279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AG02200003 (Texas)	Secondary
363L00000X	Nurse Practitioner	RN196865 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Henry Hospital	Stockbridge, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acute Care Surgery Medical Group Inc	7214006816	138

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. Traci C Boullion allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Entity Name	Acute Care Surgery Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20221228000474

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. Traci C Boullion 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
Traci C Boullion, AGNP-C 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 Ph: (770) 428-0462	Traci C Boullion, AGNP-C 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 Ph: (770) 428-0462

Reviews and Comments

Nurse Practitioner Nurses in Marietta, GA

Mrs. Jennifer Irene Sarno, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 400, Marietta, GA 30060 Phone: 770-422-3602
Stacey Glass Malstrom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893
Tanisha Leonard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-528-9938
Julie J Baute, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne Ste 205, Marietta, GA 30060 Phone: 678-224-6198
Dr. Ibisa Comfort Onyirimba, DNP, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2481 Hurt Rd Sw, Marietta, GA 30008 Phone: 404-934-2420
Mrs. Susan Wanjiku Kamau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Sage Ridge Dr, Marietta, GA 30064 Phone: 404-643-0444
Ms. Trina Renee Cain, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 Kennesaw Ave Nw, Marietta, GA 30060 Phone: 678-458-5311

Traci C Boullion, AGNP-C - Medicare Nurse Practitioner in Marietta, GA