Ginger Bouma, MD in Poulsbo, WA - Medicare Physician Assistant

Ginger Bouma, MD is a medicare enrolled "Physician Assistant" physician in Poulsbo, Washington. She graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Smithcare General Dermatology, Mohs Surgery And Aesthetics Pllc and her current practice location is 21800 Marketplace Nw Ste 103, Poulsbo, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 291-5700.

Ginger Bouma is licensed to practice in Washington (license number PA10004612) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679507289.

Contact Information

	Ginger Bouma, MD
	21800 Marketplace Nw Ste 103, Poulsbo, WA 98370-6667
	(360) 291-5700
	(360) 637-0863

Map and Direction

Physician's Profile

Full Name	Ginger Bouma
Gender	Female
Speciality	Physician Assistant
Experience	23 Years
Location	21800 Marketplace Nw Ste 103, Poulsbo, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ginger Bouma graduated from medical school in 2003

NPI Data:

NPI Number: 1679507289
Provider Enumeration Date: 07/10/2006
Last Update Date: 08/18/2026

Medicare PECOS Information:

PECOS PAC ID: 0840288585
Enrollment ID: I20040503000978

Medical Identifiers

Medical identifiers for Ginger Bouma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679507289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	PA1004612 (Washington)	Secondary
207N00000X	Dermatology	PA10004612 (Washington)	Secondary
363A00000X	Physician Assistant	PA10004612 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Michael Medical Center	Silverdale, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Smithcare General Dermatology, Mohs Surgery And Aesthetics Pllc	7810386679	4

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. Ginger Bouma allows following entities to bill medicare on her behalf.

Entity Name	Smithcare: General Dermatology, Mohs Surgery & Aesthetics PLLC
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417620998 PECOS PAC ID: 7810386679 Enrollment ID: O20211116002603

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. Ginger Bouma 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
Ginger Bouma, MD 21800 Marketplace Nw Ste 103, Poulsbo, WA 98370-6667 Ph: (360) 291-5700	Ginger Bouma, MD 21800 Marketplace Nw Ste 103, Poulsbo, WA 98370-6667 Ph: (360) 291-5700

Ginger Bouma, MD - Medicare Physician Assistant in Poulsbo, WA