Mariam Sophia Bouanane-smith, PMHNP-BC in Portsmouth, VA

Mariam Sophia Bouanane-smith, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portsmouth, Virginia. Her current practice location is 301 Goode Way Ste 206, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 704-4747.

Mariam Sophia Bouanane-smith is licensed to practice in Virginia (license number 0024187257) 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 1053024026.

Contact Information

	Mariam Sophia Bouanane-smith, PMHNP-BC
	301 Goode Way Ste 206, Portsmouth, VA 23704-2266
	(757) 704-4747
	Not Available

Map and Direction

Provider's Profile

Full Name	Mariam Sophia Bouanane-smith
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	301 Goode Way Ste 206, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053024026
Provider Enumeration Date: 01/04/2023
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2769837608
Enrollment ID: I20231012000187

Medical Identifiers

Medical identifiers for Mariam Sophia Bouanane-smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053024026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024187257 (Virginia)	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. Mariam Sophia Bouanane-smith allows following entities to bill medicare on her behalf.

Entity Name	Virginia Pac Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073042800 PECOS PAC ID: 4587930672 Enrollment ID: O20171017002271

Entity Name	Nv Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20220802002024

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. Mariam Sophia Bouanane-smith 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
Mariam Sophia Bouanane-smith, PMHNP-BC 301 Goode Way Ste 206, Portsmouth, VA 23704-2266 Ph: (757) 704-4747	Mariam Sophia Bouanane-smith, PMHNP-BC 301 Goode Way Ste 206, Portsmouth, VA 23704-2266 Ph: (757) 704-4747

Reviews and Comments

Nurse Practitioner Nurses in Portsmouth, VA

Mr. John F Lyons, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-445-9187 Fax: 757-445-5443
Flordeliza Ablao-chanthavichith, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3235 Academy Ave, Suite 305, Portsmouth, VA 23703 Phone: 757-686-9300 Fax: 757-686-1514
Jordan Cox, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200
Mr. Wilber C. Delorme, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Cent Portsmout Dermatology Clinic, Portsmouth, VA 23708 Phone: 757-953-0311
Heather Weaver Nelson, FNP-C, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-8351
Jennifer Pruhs, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-477-2875 Fax: 757-953-9035
Mary Misturado, MSN, APRN-CNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-2600

Mariam Sophia Bouanane-smith, PMHNP-BC - Medicare Nurse Practitioner in Portsmouth, VA