Mrs Connie Renee Boehman, FNP-C - Medicare Nurse Practitioner in North Charleston, SC

Mrs Connie Renee Boehman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in North Charleston, South Carolina. Her current practice location is 4105 Faber Place Dr Ste 120, North Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (855) 882-3901.

Mrs Connie Renee Boehman is licensed to practice in North Carolina (license number 5010480) 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 1679931778.

Contact Information

Mrs Connie Renee Boehman, FNP-C
4105 Faber Place Dr Ste 120,
North Charleston, SC 29405-8594
(855) 882-3901
Not Available



Provider's Profile

Full NameMrs Connie Renee Boehman
GenderFemale
SpecialityNurse Practitioner - Family
Location4105 Faber Place Dr Ste 120, North Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679931778
  • Provider Enumeration Date: 02/03/2016
  • Last Update Date: 06/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597839712
  • Enrollment ID: I20160412002583

Medical Identifiers

Medical identifiers for Mrs Connie Renee Boehman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679931778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71006571A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 3010041 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family 5010480 (North Carolina)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 Connie Renee Boehman allows following entities to bill medicare on her behalf.
Entity NameMolina Care Connections Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20211213002465

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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 Connie Renee Boehman 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 Connie Renee Boehman, FNP-C
3923 Cross Creek Trl,
Owensboro, KY 42303-1895

Ph: (812) 719-9414
Mrs Connie Renee Boehman, FNP-C
4105 Faber Place Dr Ste 120,
North Charleston, SC 29405-8594

Ph: (855) 882-3901

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Nurse Practitioner Nurses in North Charleston, SC

Mr. Richard Dale Brinson, MSN, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406
Phone: 843-847-4595    
Kimberly Lynn Rhoton, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4050 Bridge View Dr, Suite 500, Perimeter Center, North Charleston, SC 29405
Phone: 843-746-4030    
Whitney Naramore Huff, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4975 Lacross Rd Ste 110, North Charleston, SC 29406
Phone: 843-797-1941    Fax: 843-574-1698
Andrietta Wright Barnett, DNP FNP-C PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4000 Faber Place Dr Ste 110, North Charleston, SC 29405
Phone: 843-501-1099    
Mrs. Dodi Lynn Baum, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9267 Medical Plaza Dr Ste G, North Charleston, SC 29406
Phone: 843-797-3636    
Tina Withrow, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2910 Tricom St, North Charleston, SC 29406
Phone: 843-572-9211    Fax: 843-572-0457
Hannah Dweikat,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4920 Ohear Ave Ste 101, North Charleston, SC 29405
Phone: 843-856-3784    

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