Suzette Grier Bosveld, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Phillips Ranch, California. Her current practice location is
40 Cottontail Dr, Phillips Ranch, California. You can reach out to her office (for appointments etc.) via phone at
(909) 629-8811.
Suzette Grier Bosveld is licensed to practice in California (license number 531741) 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 1013181163.
Provider's Profile
Full Name | Suzette Grier Bosveld |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 40 Cottontail Dr, Phillips Ranch, California |
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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: 1013181163
- Provider Enumeration Date: 04/19/2008
- Last Update Date: 03/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 3173938529
- Enrollment ID: I20210216002461
Medical Identifiers
Medical identifiers for Suzette Grier Bosveld such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013181163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 531741 (California) | 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. Suzette Grier Bosveld allows following entities to bill medicare on her behalf.
Entity Name | St Joseph Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669557179 PECOS PAC ID: 5294727921 Enrollment ID: O20040401000670 |
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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. Suzette Grier Bosveld 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 |
Suzette Grier Bosveld, NP-C 40 Cottontail Dr, Phillips Ranch, CA 91766-4843 Ph: (909) 629-8811 | Suzette Grier Bosveld, NP-C 40 Cottontail Dr, Phillips Ranch, CA 91766-4843 Ph: (909) 629-8811 |
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