Christine S Bohannan, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Prescott Valley, Arizona. Her current practice location is
3251 N Windsong Dr, Prescott Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 772-2582.
Christine S Bohannan is licensed to practice in Arizona (license number 238854) 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 1992336119.
Physician's Profile
| Full Name | Christine S Bohannan |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 3251 N Windsong Dr, Prescott Valley, Arizona |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992336119
- Provider Enumeration Date: 01/27/2020
- Last Update Date: 05/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931520145
- Enrollment ID: I20200526001731
Medical Identifiers
Medical identifiers for Christine S Bohannan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992336119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 178842 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 238854 (Arizona) | 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. Christine S Bohannan allows following entities to bill medicare on her behalf.
| Entity Name | Sleep Disorder Center Of Prescott Valley Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1548365414 PECOS PAC ID: 5395784839 Enrollment ID: O20050425001247 |
|---|
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. Christine S Bohannan 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 |
Christine S Bohannan, NP 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 Ph: (928) 772-2582 | Christine S Bohannan, NP 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 Ph: (928) 772-2582 |
Reviews and Comments