Jayde Michelle Boehnke, NP is a medicare enrolled "Nurse Practitioner" physician in Colorado Springs, Colorado. Her current practice location is
1400 E Boulder St, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 365-5000.
Jayde Michelle Boehnke is licensed to practice in Colorado (license number APN.0999737-NP) 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 1609622612.
Physician's Profile
Full Name | Jayde Michelle Boehnke |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1400 E Boulder St, Colorado Springs, Colorado |
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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: 1609622612
- Provider Enumeration Date: 04/29/2024
- Last Update Date: 09/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668993304
- Enrollment ID: I20250310003521
Medical Identifiers
Medical identifiers for Jayde Michelle Boehnke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609622612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | APN.0999737-NP (Colorado) | Secondary |
363L00000X | Nurse Practitioner | APN.0999737-NP (Colorado) | 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. Jayde Michelle Boehnke allows following entities to bill medicare on her behalf.
Entity Name | Emergency Medical Specialists, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194708073 PECOS PAC ID: 2860489242 Enrollment ID: O20040428000221 |
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Entity Name | Peak Medical Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407420441 PECOS PAC ID: 5395096952 Enrollment ID: O20180920000528 |
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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. Jayde Michelle Boehnke 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 |
Jayde Michelle Boehnke, NP 1400 E Boulder St, Colorado Springs, CO 80909-5599 Ph: () - | Jayde Michelle Boehnke, NP 1400 E Boulder St, Colorado Springs, CO 80909-5599 Ph: (719) 365-5000 |
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