Danielle Rene Bouillon, is a medicare enrolled "Psychiatry & Neurology - Neurology" in Lima, Ohio. Her current practice location is
770 W High St Ste 160, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 996-4099.
Danielle Rene Bouillon is licensed to practice in Ohio (license number APRN.CNP.0034378) 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 1588445852.
Provider's Profile
Full Name | Danielle Rene Bouillon |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Neurology |
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Location | 770 W High St Ste 160, Lima, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588445852
- Provider Enumeration Date: 10/11/2023
- Last Update Date: 11/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193168128
- Enrollment ID: I20240207001106
Medical Identifiers
Medical identifiers for Danielle Rene Bouillon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588445852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.0034378 (Ohio) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | APRN.CNP.0034378 (Ohio) | 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. Danielle Rene Bouillon allows following entities to bill medicare on her behalf.
Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
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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. Danielle Rene Bouillon 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 |
Danielle Rene Bouillon, 770 W High St Ste 160, Lima, OH 45801-5900 Ph: (419) 996-4099 | Danielle Rene Bouillon, 770 W High St Ste 160, Lima, OH 45801-5900 Ph: (419) 996-4099 |
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