Stacy L Boden, NP in West Bend, WI - Medicare Nurse Practitioner

Stacy L Boden, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in West Bend, Wisconsin. Her current practice location is 3200 Pleasant Valley Rd, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 334-3451.

Stacy L Boden is licensed to practice in Wisconsin (license number 144166) 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 1124250063.

Contact Information

	Stacy L Boden, NP
	3200 Pleasant Valley Rd, West Bend, WI 53095-9274
	(262) 334-3451
	(262) 306-2964

Map and Direction

Provider's Profile

Full Name	Stacy L Boden
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	3200 Pleasant Valley Rd, West Bend, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124250063
Provider Enumeration Date: 08/11/2009
Last Update Date: 08/11/2009

Medicare PECOS Information:

PECOS PAC ID: 7012053515
Enrollment ID: I20091014000614

Medical Identifiers

Medical identifiers for Stacy L Boden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124250063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	144166 (Wisconsin)	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. Stacy L Boden allows following entities to bill medicare on her behalf.

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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. Stacy L Boden 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
Stacy L Boden, NP 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451	Stacy L Boden, NP 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 334-3451

Reviews and Comments

Nurse Practitioner Nurses in West Bend, WI

Ryan Douglas Langer, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Alyssa Sekadlo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 Fax: 262-338-9767
Jennifer Nicole Thomson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Dr. Shanice S Kukuck, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Monica Katherine Binder, DNP, APNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Casey L Nolan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Pleasant Valley Rd, Internal Medicine, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301

Stacy L Boden, NP - Medicare Nurse Practitioner in West Bend, WI