Mrs Gouni Lakoso Bouraima, PMHNP-BC - Medicare Psychiatry & Neurology in Benson, AZ

Mrs Gouni Lakoso Bouraima, PMHNP-BC is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Benson, Arizona. Her current practice location is 335 S Ocotillo Ave, Benson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 586-4040.

Mrs Gouni Lakoso Bouraima is licensed to practice in Arizona (license number 258158) 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 1427623990.

Contact Information

Mrs Gouni Lakoso Bouraima, PMHNP-BC
335 S Ocotillo Ave,
Benson, AZ 85602-6406
(520) 586-4040
Not Available



Physician's Profile

Full NameMrs Gouni Lakoso Bouraima
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location335 S Ocotillo Ave, Benson, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427623990
  • Provider Enumeration Date: 05/26/2021
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153798210
  • Enrollment ID: I20221101003494

Medical Identifiers

Medical identifiers for Mrs Gouni Lakoso Bouraima such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427623990NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 258158 (Arizona)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 Gouni Lakoso Bouraima allows following entities to bill medicare on her behalf.
Entity NamePascua Yaqui Tribe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477868396
PECOS PAC ID: 7618033598
Enrollment ID: O20220120000627

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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. Mrs Gouni Lakoso Bouraima 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 AddressPractice Location Address
Mrs Gouni Lakoso Bouraima, PMHNP-BC
335 S Ocotillo Ave,
Benson, AZ 85602-6406

Ph: (520) 586-4040
Mrs Gouni Lakoso Bouraima, PMHNP-BC
335 S Ocotillo Ave,
Benson, AZ 85602-6406

Ph: (520) 586-4040

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Psychiatry & Neurology Doctors in Benson, AZ

Michael J Bruwer, MD, PSYCH
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 470 S Ocotillo Ave, Benson, AZ 85602
Phone: 520-586-7737    Fax: 520-586-7939

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