Maria Sarah Sophie Bovenberg, MD, PHD in Las Vegas, NV

Maria Sarah Sophie Bovenberg, MD, PHD is a medicare enrolled "Dermatology" physician in Las Vegas, Nevada. Her current practice location is 653 N Town Center Dr Ste 410, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 456-3120.

Maria Sarah Sophie Bovenberg is licensed to practice in Nevada (license number 23802) 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 1528590858.

Contact Information

	Maria Sarah Sophie Bovenberg, MD, PHD
	653 N Town Center Dr Ste 410, Las Vegas, NV 89144-0518
	(702) 456-3120
	Not Available

Map and Direction

Physician's Profile

Full Name	Maria Sarah Sophie Bovenberg
Gender	Female
Speciality	Dermatology
Location	653 N Town Center Dr Ste 410, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528590858
Provider Enumeration Date: 03/27/2017
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7911276621
Enrollment ID: I20230731002044

Medical Identifiers

Medical identifiers for Maria Sarah Sophie Bovenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528590858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	23802 (Nevada)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	23802 (Nevada)	Secondary
207N00000X	Dermatology	23802 (Nevada)	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. Maria Sarah Sophie Bovenberg allows following entities to bill medicare on her behalf.

Entity Name	Las Vegas Dermatology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730375262 PECOS PAC ID: 6204232275 Enrollment ID: O20210831002448

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. Maria Sarah Sophie Bovenberg 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
Maria Sarah Sophie Bovenberg, MD, PHD 653 N Town Center Dr Ste 410, Las Vegas, NV 89144-0518 Ph: (702) 456-3120	Maria Sarah Sophie Bovenberg, MD, PHD 653 N Town Center Dr Ste 410, Las Vegas, NV 89144-0518 Ph: (702) 456-3120

Reviews and Comments

Dermatology Doctors in Las Vegas, NV

Mrs. Miriam S Bettencourt, MD Dermatology Medicare: Medicare Enrolled Practice Location: 6170 N Durango Dr Ste 140, Las Vegas, NV 89149 Phone: 702-430-5333
Dr. Lionel Julian Handler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10105 Banburry Cross Dr, Suite 350, Las Vegas, NV 89144 Phone: 702-243-6400 Fax: 702-243-4913
Dr. Alison Yah-san Tam, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8530 W. Sunset Rd #130, Las Vegas, NV 89113 Phone: 702-822-2100 Fax: 702-822-2105
Dr. Dominick J Addonizio I, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 653 N Town Center Dr, Las Vegas, NV 89144 Phone: 702-450-7546 Fax: 702-869-6146
Dr. James Del Rosso, DO Dermatology Medicare: Medicare Enrolled Practice Location: 9097 W Post Rd Ste 100, Las Vegas, NV 89148 Phone: 702-430-5333 Fax: 702-430-5335
Elizabeth Ann Langford, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6460 Medical Center St Ste 350, Las Vegas, NV 89148 Phone: 702-255-6647 Fax: 702-933-1444
Dr. Jaldeep H Daulat, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3975 S Durango Dr Ste 107, Las Vegas, NV 89147 Phone: 702-628-5333 Fax: 702-974-0440

Maria Sarah Sophie Bovenberg, MD, PHD - Medicare Dermatology in Las Vegas, NV