Dr Nicole Boullianne, AUD - Medicare Audiologist in Boynton Beach, FL

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Dr Nicole Boullianne, AUD is a medicare enrolled "Audiologist" provider in Boynton Beach, Florida. Her current practice location is 12355 Hagen Ranch Rd Unit 604, Boynton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (561) 221-0450.

Dr Nicole Boullianne is licensed to practice in Florida (license number AY2652) 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 1326768466.

Contact Information

Dr Nicole Boullianne, AUD
12355 Hagen Ranch Rd Unit 604,
Boynton Beach, FL 33437-4180
(561) 221-0450
(954) 827-0591

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicole Boullianne
GenderFemale
SpecialityAudiologist
Location12355 Hagen Ranch Rd Unit 604, Boynton Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326768466
  • Provider Enumeration Date: 08/30/2022
  • Last Update Date: 08/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133598204
  • Enrollment ID: I20240106000246

Medical Identifiers

Medical identifiers for Dr Nicole Boullianne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326768466NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist AY2652 (Florida)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. Dr Nicole Boullianne allows following entities to bill medicare on her behalf.
Provider NameActive Life Audiology Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053774042
PECOS PAC ID: 7214297803
Enrollment ID: O20180130000807

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. Dr Nicole Boullianne 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
Dr Nicole Boullianne, AUD
215 South St,
Northborough, MA 01532-2330

Ph: (177) 425-1003		Dr Nicole Boullianne, AUD
12355 Hagen Ranch Rd Unit 604,
Boynton Beach, FL 33437-4180

Ph: (561) 221-0450

Reviews and Comments


Audiologist in Boynton Beach, FL

Mrs. Sherrie J Domb, B.A.,M.S.
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Phone: 561-285-4020    Fax: 503-659-5968
Ms. Robin L Bender, B.S.,M.S.
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Phone: 561-737-8584    
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Jan S Glick, CCC-A
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Practice Location: 1325 S Congress Ave, Ste.107, Boynton Beach, FL 33426
Phone: 561-742-7559    Fax: 561-742-7957

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.