Mrs Annmarie Green Bolduc, APRN in Port Charlotte, FL

Mrs Annmarie Green Bolduc, APRN is a medicare enrolled "Nurse Practitioner" in Port Charlotte, Florida. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Leavitt Medical Associates Of Florida Inc and her current practice location is 1617 Tamiami Trl, Port Charlotte, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 613-2400.

Mrs Annmarie Green Bolduc is licensed to practice in Florida (license number 11015846) 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 1770827776.

Contact Information

	Mrs Annmarie Green Bolduc, APRN
	1617 Tamiami Trl, Port Charlotte, FL 33948-1040
	(941) 613-2400
	(941) 613-2401

Map and Direction

Provider's Profile

Full Name	Mrs Annmarie Green Bolduc
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1617 Tamiami Trl, Port Charlotte, Florida
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:

Mrs Annmarie Green Bolduc graduated from nursing school in 2012

NPI Data:

NPI Number: 1770827776
Provider Enumeration Date: 11/15/2012
Last Update Date: 01/05/2023

Medicare PECOS Information:

PECOS PAC ID: 1355625864
Enrollment ID: I20211021000817

Medical Identifiers

Medical identifiers for Mrs Annmarie Green Bolduc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770827776	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	005213 (Connecticut)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	005213 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	11015846 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Leavitt Medical Associates Of Florida Inc	4688579311	173

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. Mrs Annmarie Green Bolduc allows following entities to bill medicare on her behalf.

Entity Name	Leavitt Medical Associates Of Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737

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. Mrs Annmarie Green Bolduc 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
Mrs Annmarie Green Bolduc, APRN 3322 Purple Martin Dr Unit 142, Punta Gorda, FL 33950-6746 Ph: (860) 655-3395	Mrs Annmarie Green Bolduc, APRN 1617 Tamiami Trl, Port Charlotte, FL 33948-1040 Ph: (941) 613-2400

Reviews and Comments

Nurse Practitioner Nurses in Port Charlotte, FL

Maria Lourdes Laquian, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700
Maureen Ann Wertz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 855-674-7700 Fax: 941-764-8455
Bobbi Hawver, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18480 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-743-4700
Roxana Maria Rodriguez Rey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 877-856-3774
Carla K Garcia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181
Rita Felicia De Palma, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066
Ms. Carin Melanie Calabrese, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952 Phone: 941-613-1356

Mrs Annmarie Green Bolduc, APRN - Medicare Nurse Practitioner in Port Charlotte, FL