Ms Patricia Ann Boullie, CNM - Medicare Advanced Practice Midwife in Astoria, OR

Ms Patricia Ann Boullie, CNM is a medicare enrolled "Advanced Practice Midwife" in Astoria, Oregon. Her current practice location is 550 22nd St, Astoria, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 338-7595.

Ms Patricia Ann Boullie is licensed to practice in Oregon (license number 096007245ZN5) 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 1629142591.

Contact Information

Ms Patricia Ann Boullie, CNM
550 22nd St,
Astoria, OR 97103-3312
(503) 338-7595
(503) 325-4905



Provider's Profile

Full NameMs Patricia Ann Boullie
GenderFemale
SpecialityAdvanced Practice Midwife
Location550 22nd St, Astoria, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629142591
  • Provider Enumeration Date: 11/20/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628247004
  • Enrollment ID: I20110802000440

Medical Identifiers

Medical identifiers for Ms Patricia Ann Boullie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629142591NPI-NPPES
096009245ZN5OtherORNURSING LICENSE NUMBER
83621MedicaidOR
9618216MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 096007245ZN5 (Oregon)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. Ms Patricia Ann Boullie allows following entities to bill medicare on her behalf.
Entity NameColumbia Lutheran Charities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146939
PECOS PAC ID: 5294643359
Enrollment ID: O20040202000073

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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. Ms Patricia Ann Boullie 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
Ms Patricia Ann Boullie, CNM
35242 Kee Ln,
Astoria, OR 97103-8314

Ph: (503) 325-4264
Ms Patricia Ann Boullie, CNM
550 22nd St,
Astoria, OR 97103-3312

Ph: (503) 338-7595

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Advanced Practice Midwife Nurses in Astoria, OR

Mrs. Corinne Almquist Reeves, CNM, WHNP
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2265 Exchange St, Astoria, OR 97103
Phone: 503-338-7595    Fax: 503-325-4906
Rebecca Ruth Barlow, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1406 Marine Dr, Astoria, OR 97103
Phone: 509-539-3985    
Charity Clark Mcdaniel, RN
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2265 Exchange St, Astoria, OR 97103
Phone: 503-338-7595    Fax: 503-325-4905

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