Louise Racine Bastarache, CNM, NP is a medicare enrolled "Midwife" in Plymouth, Massachusetts. Her current practice location is
46 Obery St, Plymouth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 830-6116.
Louise Racine Bastarache is licensed to practice in Massachusetts (license number 143429) 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 1619975208.
Provider's Profile
| Full Name | Louise Racine Bastarache |
|---|
| Gender | Female |
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| Speciality | Midwife |
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| Location | 46 Obery St, Plymouth, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619975208
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 02/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052357183
- Enrollment ID: I20080208000524
Medical Identifiers
Medical identifiers for Louise Racine Bastarache such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619975208 | NPI | - | NPPES |
| NP1103 | Other | | BCBS |
| 13464 | Other | | HARVARD PILGRIM |
| 791798 | Other | | TUFTS |
| CN0081 | Other | | BCBS |
| 0355747 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 143429 (Massachusetts) | Secondary |
| 176B00000X | Midwife | 143429 (Massachusetts) | 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. Louise Racine Bastarache allows following entities to bill medicare on her behalf.
| Entity Name | Jordan Physician Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538145131
PECOS PAC ID: 1254321086
Enrollment ID: O20040514000167 |
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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. Louise Racine Bastarache 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 |
|---|
Louise Racine Bastarache, CNM, NP
46 Obery St,
Plymouth, MA 02360-2237
Ph: (508) 789-5716 | Louise Racine Bastarache, CNM, NP
46 Obery St,
Plymouth, MA 02360-2237
Ph: (508) 830-6116 |
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