Mary Ellen Booth, NP in Monroe, LA - Medicare Nurse Practitioner

Mary Ellen Booth, NP is a medicare enrolled "Nurse Practitioner - Family" in Monroe, Louisiana. Her current practice location is 1140 University Avenue, Monroe, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 342-1651.

Mary Ellen Booth is licensed to practice in Louisiana (license number 213927) 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 1083232771.

Contact Information

	Mary Ellen Booth, NP
	1140 University Avenue, Monroe, LA 71209-5702
	(318) 342-1651
	(318) 342-3280

Map and Direction

Provider's Profile

Full Name	Mary Ellen Booth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1140 University Avenue, Monroe, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083232771
Provider Enumeration Date: 07/08/2020
Last Update Date: 06/13/2022

Medicare PECOS Information:

PECOS PAC ID: 3870911894
Enrollment ID: I20200908002137

Medical Identifiers

Medical identifiers for Mary Ellen Booth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083232771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	213927 (Louisiana)	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. Mary Ellen Booth allows following entities to bill medicare on her behalf.

Entity Name	Affinity Health Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088

Entity Name	St Francis Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194104513 PECOS PAC ID: 6608181516 Enrollment ID: O20150820010652

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. Mary Ellen Booth 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
Mary Ellen Booth, NP 130 Desiard St Ste 355, Monroe, LA 71201-7363 Ph: (318) 807-7875	Mary Ellen Booth, NP 1140 University Avenue, Monroe, LA 71209-5702 Ph: (318) 342-1651

Reviews and Comments

Nurse Practitioner Nurses in Monroe, LA

Brenda Thomason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Magnolia Cv, Monroe, LA 71203 Phone: 318-323-1100 Fax: 318-323-1161
Nayana Shrestha, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St Ste 411, Monroe, LA 71201 Phone: 318-966-6622 Fax: 318-966-6621
Mr. Nicholas Colton Fisher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Grammont St., Monroe, LA 71201 Phone: 318-325-2634 Fax: 318-812-1205
Miss Kandice Nicole Hunter, APRN, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000
Mrs. Ellen Stewart Murray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-855-6282 Fax: 318-855-6424
Miss Matilda Elliott Stephens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Medical Park Dr Ste B, Monroe, LA 71203 Phone: 318-387-6803 Fax: 318-387-6874
Donna L Courson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Layton Ave Ste 20, Monroe, LA 71201 Phone: 318-323-6405 Fax: 318-410-8290

Mary Ellen Booth, NP - Medicare Nurse Practitioner in Monroe, LA