Stephanie Montoya Boothe, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bee Caves, Texas. Her current practice location is
11420 Bee Caves Rd Ste A150, Bee Caves, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 428-5768.
Stephanie Montoya Boothe is licensed to practice in Texas (license number 1008619) 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 1932927902.
Provider's Profile
Full Name | Stephanie Montoya Boothe |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 11420 Bee Caves Rd Ste A150, Bee Caves, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932927902
- Provider Enumeration Date: 09/30/2024
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628506185
- Enrollment ID: I20250110002823
Medical Identifiers
Medical identifiers for Stephanie Montoya Boothe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932927902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1008619 (Texas) | 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. Stephanie Montoya Boothe allows following entities to bill medicare on her behalf.
Entity Name | Privia Medical Group Gulf Coast Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
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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. Stephanie Montoya Boothe 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 |
Stephanie Montoya Boothe, FNP 1807 Red Fox Rd, Austin, TX 78734-3236 Ph: (928) 600-7035 | Stephanie Montoya Boothe, FNP 11420 Bee Caves Rd Ste A150, Bee Caves, TX 78738-5528 Ph: (512) 428-5768 |
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