Dr Alissa Boekhout, NP in Eden Prairie, MN - Medicare Nurse Practitioner

Dr Alissa Boekhout, NP is a medicare enrolled "Nurse Practitioner - Family" in Eden Prairie, Minnesota. Her current practice location is 6452 City West Pkwy, Eden Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 999-0333.

Dr Alissa Boekhout is licensed to practice in Minnesota (license number 9504) 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 1639804214.

Contact Information

	Dr Alissa Boekhout, NP
	6452 City West Pkwy, Eden Prairie, MN 55344-3245
	(952) 999-0333
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Alissa Boekhout
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6452 City West Pkwy, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639804214
Provider Enumeration Date: 07/19/2022
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 6901276294
Enrollment ID: I20230103000910

Medical Identifiers

Medical identifiers for Dr Alissa Boekhout such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639804214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	236323-7 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	9504 (Minnesota)	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 Alissa Boekhout allows following entities to bill medicare on her behalf.

Entity Name	New Kingdom Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760816045 PECOS PAC ID: 7315266806 Enrollment ID: O20150505001812

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 Alissa Boekhout 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 Alissa Boekhout, NP 5801 157th Ln Nw, Ramsey, MN 55303-5943 Ph: (319) 541-1521	Dr Alissa Boekhout, NP 6452 City West Pkwy, Eden Prairie, MN 55344-3245 Ph: (952) 999-0333

Reviews and Comments

Nurse Practitioner Nurses in Eden Prairie, MN

Chad Lee Stencel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8941 Aztec Dr, Eden Prairie, MN 55347 Phone: 612-990-5849 Fax: 952-303-4708
Rachel Maguy Pierre, ARNP-FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 888-445-8745
Nimo Saleban Abdi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10067 Gristmill Rdg, Eden Prairie, MN 55347 Phone: 612-226-2747 Fax: 612-465-4884
Jill Marie Scholz, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274
Kristofer Bristol, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333
Katie L Seremet, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333 Fax: 952-300-2558
Lisa Anne Soupir, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6485 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-933-1150 Fax: 952-930-3304

Dr Alissa Boekhout, NP - Medicare Nurse Practitioner in Eden Prairie, MN