Dr Alexandria V Booth, MD in Walla Walla, WA

Dr Alexandria V Booth, MD is a medicare enrolled "Dermatology" physician in Walla Walla, Washington. Her current practice location is 19 Southpoint Ln, Walla Walla, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 525-3720.

Dr Alexandria V Booth is licensed to practice in California (license number A106124) 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 1588872352.

Contact Information

	Dr Alexandria V Booth, MD
	19 Southpoint Ln, Walla Walla, WA 99362-4175
	(509) 525-3720
	(509) 522-1593

Map and Direction

Physician's Profile

Full Name	Dr Alexandria V Booth
Gender	Female
Speciality	Dermatology
Location	19 Southpoint Ln, Walla Walla, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588872352
Provider Enumeration Date: 05/17/2007
Last Update Date: 06/15/2020

Medicare PECOS Information:

PECOS PAC ID: 6305904087
Enrollment ID: I20180618001901

Medical Identifiers

Medical identifiers for Dr Alexandria V Booth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588872352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	244151 (New York)	Secondary
207N00000X	Dermatology	A106124 (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. Dr Alexandria V Booth allows following entities to bill medicare on her behalf.

Entity Name	Himansu Shah Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295986156 PECOS PAC ID: 5092864231 Enrollment ID: O20090519000433

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. Dr Alexandria V Booth 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
Dr Alexandria V Booth, MD 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720	Dr Alexandria V Booth, MD 19 Southpoint Ln, Walla Walla, WA 99362-4175 Ph: (509) 525-3720

Reviews and Comments

Dermatology Doctors in Walla Walla, WA

Dr. David Panther, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593
Dr. Jeffrey C Stiles, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-525-4691
Laurel Stevens, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19 Southpoint Ln, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-525-4691

Dr Alexandria V Booth, MD - Medicare Dermatology in Walla Walla, WA