Ms Lara Skye Boughman, LPC, CSAC is a medicare enrolled "Counselor - Professional" provider in Madison, Wisconsin. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
4785 Hayes Rd Ste 200, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 844-8473.
Ms Lara Skye Boughman is licensed to practice in Wisconsin (license number 5352-125) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1689884686.
Healthcare Provider's Profile
| Full Name | Ms Lara Skye Boughman |
|---|
| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 14 Years |
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| Location | 4785 Hayes Rd Ste 200, Madison, Wisconsin |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Lara Skye Boughman graduated from medical school in 2012
NPI Data:
- NPI Number: 1689884686
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163992561
- Enrollment ID: I20260527002125
Medical Identifiers
Medical identifiers for Ms Lara Skye Boughman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689884686 | NPI | - | NPPES |
| 15459-132 | Other | WI | CSAC |
| 5352-125 | Other | WI | LPC |
| 14277-130 | Other | WI | SAC-IT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 15459-132 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 5352-125 (Wisconsin) | Primary |
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. Ms Lara Skye Boughman 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 |
|---|
Ms Lara Skye Boughman, LPC, CSAC
4785 Hayes Rd Ste 200,
Madison, WI 53704-7364
Ph: (608) 844-8473 | Ms Lara Skye Boughman, LPC, CSAC
4785 Hayes Rd Ste 200,
Madison, WI 53704-7364
Ph: (608) 844-8473 |
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