Leah Boeve, FNP is a medicare enrolled "Nurse Practitioner - Family" in Coopersville, Michigan. Her current practice location is
675 W Randall St, Coopersville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 889-6011.
Leah Boeve is licensed to practice in Michigan (license number 4704314023) 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 1750101895.
Provider's Profile
Full Name | Leah Boeve |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 675 W Randall St, Coopersville, Michigan |
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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: 1750101895
- Provider Enumeration Date: 10/14/2024
- Last Update Date: 10/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698202703
- Enrollment ID: I20241231000187
Medical Identifiers
Medical identifiers for Leah Boeve such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750101895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 4704314023 (Michigan) | 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. Leah Boeve allows following entities to bill medicare on her behalf.
Entity Name | Randall Street Medical, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598734584 PECOS PAC ID: 1951474246 Enrollment ID: O20120712000410 |
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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. Leah Boeve 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 |
Leah Boeve, FNP 12151 Linden Dr, Marne, MI 49435-9684 Ph: (616) 889-6011 | Leah Boeve, FNP 675 W Randall St, Coopersville, MI 49404-1305 Ph: (616) 889-6011 |
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