Mrs Eliette Yadira Bouie, PA-C in Lavale, MD - Medicare Physician Assistant

Mrs Eliette Yadira Bouie, PA-C is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Lavale, Maryland. She graduated from medical school in 1989 and has 37 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Garrett Anesthesia And Pain Management, Meritus Medical Center Inc and her current practice location is Gonzaga Interventional Pain Management, 957 National Hwy, Lavale, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 362-7128.

Mrs Eliette Yadira Bouie is licensed to practice in Maryland (license number C0003577) 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 1538132261.

Contact Information

	Mrs Eliette Yadira Bouie, PA-C
	Gonzaga Interventional Pain Management, 957 National Hwy, Lavale, MD 21502-0001
	(240) 362-7128
	(240) 362-7731

Map and Direction

Physician's Profile

Full Name	Mrs Eliette Yadira Bouie
Gender	Female
Speciality	Physician Assistant
Experience	37 Years
Location	Gonzaga Interventional Pain Management, Lavale, Maryland
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:

Mrs Eliette Yadira Bouie graduated from medical school in 1989

NPI Data:

NPI Number: 1538132261
Provider Enumeration Date: 02/13/2006
Last Update Date: 11/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8729374640
Enrollment ID: I20240114000001

Medical Identifiers

Medical identifiers for Mrs Eliette Yadira Bouie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538132261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0000X	Pain Medicine - Pain Medicine	C0003577 (Maryland)	Primary
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Garrett Anesthesia And Pain Management	2466359500	4
Meritus Medical Center Inc	7113811795	563

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. Mrs Eliette Yadira Bouie 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
Mrs Eliette Yadira Bouie, PA-C 12356 Williamsport Pike, Greencastle, PA 17225-8436 Ph: (520) 395-5881	Mrs Eliette Yadira Bouie, PA-C Gonzaga Interventional Pain Management, 957 National Hwy, Lavale, MD 21502-0001 Ph: (240) 362-7128

Mrs Eliette Yadira Bouie, PA-C - Medicare Physician Assistant in Lavale, MD