Mrs Tracy Michele Boller, APRN in Danville, KY

Mrs Tracy Michele Boller, APRN is a medicare enrolled "Nurse Practitioner - Family" in Danville, Kentucky. Her current practice location is 200 Skywatch Dr, Danville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 936-5630.

Mrs Tracy Michele Boller is licensed to practice in Kentucky (license number 4010008) 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 1316723539.

Contact Information

	Mrs Tracy Michele Boller, APRN
	200 Skywatch Dr, Danville, KY 40422-2540
	(859) 936-5630
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tracy Michele Boller
Gender	Female
Speciality	Nurse Practitioner - Family
Location	200 Skywatch Dr, Danville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316723539
Provider Enumeration Date: 09/04/2023
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0749631109
Enrollment ID: I20240110001206

Medical Identifiers

Medical identifiers for Mrs Tracy Michele Boller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316723539	NPI	-	NPPES
4010008	Other	KY	KENTUCKY BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	401008 (Kentucky)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	401008 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	4010008 (Kentucky)	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. Mrs Tracy Michele Boller allows following entities to bill medicare on her behalf.

Entity Name	Kiosk Medicine Kentucky Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127

Entity Name	Lakeside Primary Care Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043790983 PECOS PAC ID: 1153674700 Enrollment ID: O20181120001820

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 Tracy Michele Boller 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 Tracy Michele Boller, APRN Po Box 932958, Cleveland, OH 44193-0028 Ph: () -	Mrs Tracy Michele Boller, APRN 200 Skywatch Dr, Danville, KY 40422-2540 Ph: (859) 936-5630

Reviews and Comments

Nurse Practitioner Nurses in Danville, KY

Vera S King, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Daniel Dr, Danville, KY 40422 Phone: 859-236-3361 Fax: 859-239-9484
Beth Ann Burchett, APRN-FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-236-3208
Megaan Turner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Skywatch Dr, Danville, KY 40422 Phone: 859-936-5630
Samantha Dewitt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-239-1000
Spenser Georgi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1591 Hustonville Rd, Danville, KY 40422 Phone: 859-724-3057
Amanda Mae Cooley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1591 Hustonville Rd, Danville, KY 40422 Phone: 859-724-3057
Cecily Y Verhoven, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-239-1000 Fax: 859-239-6878

Mrs Tracy Michele Boller, APRN - Medicare Nurse Practitioner in Danville, KY