Connie M Booms, FNP in Hillman, MI - Medicare Nurse Practitioner

Connie M Booms, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Hillman, Michigan. Her current practice location is 15774 State St, Hillman, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 742-4583.

Connie M Booms is licensed to practice in Michigan (license number 4704298561) 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 1700591005.

Contact Information

	Connie M Booms, FNP
	15774 State St, Hillman, MI 49746-7961
	(989) 742-4583
	(989) 318-4606

Map and Direction

Provider's Profile

Full Name	Connie M Booms
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	15774 State St, Hillman, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700591005
Provider Enumeration Date: 01/20/2023
Last Update Date: 01/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9032581509
Enrollment ID: I20230209000970

Medical Identifiers

Medical identifiers for Connie M Booms such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700591005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	4704298561 (Michigan)	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. Connie M Booms allows following entities to bill medicare on her behalf.

Entity Name	Thunder Bay Community Health Service Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629107552 PECOS PAC ID: 0143296772 Enrollment ID: O20040907000045

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. Connie M Booms 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
Connie M Booms, FNP Po Box 427, Hillman, MI 49746-0427 Ph: (989) 354-2197	Connie M Booms, FNP 15774 State St, Hillman, MI 49746-7961 Ph: (989) 742-4583

Reviews and Comments

Nurse Practitioner Nurses in Hillman, MI

Julie A Gilbert, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15774 State St, Hillman, MI 49746 Phone: 989-354-2197 Fax: 989-356-6524
Cecilia Peasley, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15774 State St, Hillman, MI 49746 Phone: 989-742-4583
Trisha Jane Deschamps, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15774 State St, Hillman, MI 49746 Phone: 989-742-4583 Fax: 989-742-2183
Melanie Thomas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15774 State St, Hillman, MI 49746 Phone: 989-742-4583
Leonard J Matusik, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 Caring St, Hillman, MI 49746 Phone: 989-354-2197 Fax: 989-356-6524

Connie M Booms, FNP - Medicare Nurse Practitioner in Hillman, MI