Mandy Jean Boeckman, FNP in Portland, IN - Medicare Nurse Practitioner

Mandy Jean Boeckman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Indiana. Her current practice location is 2796 W 500 S, Portland, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 729-3523.

Mandy Jean Boeckman is licensed to practice in Indiana (license number 71007881A) 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 1124520069.

Contact Information

	Mandy Jean Boeckman, FNP
	2796 W 500 S, Portland, IN 47371-7308
	(260) 729-3523
	(812) 220-4280

Map and Direction

Provider's Profile

Full Name	Mandy Jean Boeckman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2796 W 500 S, Portland, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124520069
Provider Enumeration Date: 03/07/2018
Last Update Date: 04/08/2025

Medicare PECOS Information:

PECOS PAC ID: 1456341957
Enrollment ID: I20180412001281

Medical Identifiers

Medical identifiers for Mandy Jean Boeckman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124520069	NPI	-	NPPES
28209065A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71007881A (Indiana)	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. Mandy Jean Boeckman allows following entities to bill medicare on her behalf.

Entity Name	Meridian Health Services Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531

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. Mandy Jean Boeckman 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
Mandy Jean Boeckman, FNP 2796 W 500 S, Portland, IN 47371-7308 Ph: (260) 729-3523	Mandy Jean Boeckman, FNP 2796 W 500 S, Portland, IN 47371-7308 Ph: (260) 729-3523

Reviews and Comments

Nurse Practitioner Nurses in Portland, IN

Mrs. Heather Ann Masters, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 Fax: 260-726-1975
Kerry M Torres, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 W Votaw St, Portland, IN 47371 Phone: 260-726-8822
Danielle Thompson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 980 N Meridian St, Portland, IN 47371 Phone: 260-703-3312 Fax: 260-703-3313
Alice Odelia Bruggeman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 West Votaw Street, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857
Samantha Lynn Rush, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 N Meridian St, Portland, IN 47371 Phone: 260-703-3312
Anne Hardesty, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-2313

Mandy Jean Boeckman, FNP - Medicare Nurse Practitioner in Portland, IN