Kelly Bouie, in Irving, TX - Medicare Nurse Practitioner

Kelly Bouie, is a medicare enrolled "Nurse Practitioner - Family" in Irving, Texas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Easter Seals - Michigan, Inc. and her current practice location is 3050 Regent Blvd Ste 200, Irving, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 689-8079.

Kelly Bouie is licensed to practice in Michigan (license number 2016013730) 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 1023561537.

Contact Information

	Kelly Bouie,
	3050 Regent Blvd Ste 200, Irving, TX 75063-5806
	(214) 689-8079
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Bouie
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	3050 Regent Blvd Ste 200, Irving, Texas
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:

Kelly Bouie graduated from nursing school in 2015

NPI Data:

NPI Number: 1023561537
Provider Enumeration Date: 08/01/2016
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2860770872
Enrollment ID: I20161026001628

Medical Identifiers

Medical identifiers for Kelly Bouie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023561537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704242969 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	2016013730 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Easter Seals - Michigan, Inc.	9830141670	56

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. Kelly Bouie allows following entities to bill medicare on her behalf.

Entity Name	Easter Seals - Michigan, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376526616 PECOS PAC ID: 9830141670 Enrollment ID: O20050221000100

Entity Name	Seniors Wellness Group Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801848718 PECOS PAC ID: 7012950462 Enrollment ID: O20050607000150

Entity Name	Seniors Wellness Group Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801848718 PECOS PAC ID: 7012950462 Enrollment ID: O20050607000229

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. Kelly 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
Kelly Bouie, 1203 Baldwin Cir, Holly, MI 48442-9369 Ph: (248) 343-1767	Kelly Bouie, 3050 Regent Blvd Ste 200, Irving, TX 75063-5806 Ph: (214) 689-8079

Reviews and Comments

Nurse Practitioner Nurses in Irving, TX

Bilkish Chunara, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 N Macarthur Blvd, Ste 210, Irving, TX 75061 Phone: 972-253-4370 Fax: 972-823-6407
Mrs. Tien Vu, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6750 N Macarthur Blvd Ste 211, Irving, TX 75039 Phone: 214-647-1533
Jilly John, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6363 N State Highway 161 Ste 100, Irving, TX 75038 Phone: 469-200-3272
Chelsea Jean Hawkins, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4425 W Airport Fwy Ste 450, Irving, TX 75062 Phone: 469-726-4402
Andrea Nicole Fernandez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 S Irving Heights Dr, Irving, TX 75060 Phone: 972-579-7979
Ellen Cathleen Allison, RNCWHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 N Macarthur Blvd, Ste 540, Irving, TX 75061 Phone: 972-253-5000 Fax: 972-253-1109
Esther Boro, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N Belt Line Rd Ste 201, Irving, TX 75061 Phone: 214-631-9992

Kelly Bouie, - Medicare Nurse Practitioner in Irving, TX