Mariam Sophia Bouanane-smith, PMHNP-BC - Medicare Nurse Practitioner in Virginia Beach, VA

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Mariam Sophia Bouanane-smith, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Virginia Beach, Virginia. Her current practice location is 3500 Virginia Beach Blvd Ste 202, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 720-1040.

Mariam Sophia Bouanane-smith is licensed to practice in Virginia (license number 0024187257) 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 1053024026.

Contact Information

Mariam Sophia Bouanane-smith, PMHNP-BC
3500 Virginia Beach Blvd Ste 202,
Virginia Beach, VA 23452-4445
(757) 720-1040
(757) 720-1041

Map and Direction




Provider's Profile

Full NameMariam Sophia Bouanane-smith
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3500 Virginia Beach Blvd Ste 202, Virginia Beach, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053024026
  • Provider Enumeration Date: 01/04/2023
  • Last Update Date: 07/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2769837608
  • Enrollment ID: I20231012000187

Medical Identifiers

Medical identifiers for Mariam Sophia Bouanane-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053024026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024187257 (Virginia)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. Mariam Sophia Bouanane-smith allows following entities to bill medicare on her behalf.
Entity NameVirginia Pac Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073042800
PECOS PAC ID: 4587930672
Enrollment ID: O20171017002271
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20220802002024
Entity NameCs Pacs 3 Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154104958
PECOS PAC ID: 8426404302
Enrollment ID: O20240821003368
Entity NameMindful Oasis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366260150
PECOS PAC ID: 3779010400
Enrollment ID: O20241219001685

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. Mariam Sophia Bouanane-smith 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 AddressPractice Location Address
Mariam Sophia Bouanane-smith, PMHNP-BC
3500 Virginia Beach Blvd Ste 202,
Virginia Beach, VA 23452-4445

Ph: (757) 720-1040		Mariam Sophia Bouanane-smith, PMHNP-BC
3500 Virginia Beach Blvd Ste 202,
Virginia Beach, VA 23452-4445

Ph: (757) 720-1040

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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