Tina Monique Bossolono-williams, - Medicare Nurse Practitioner in Boise, ID

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Tina Monique Bossolono-williams, is a medicare enrolled "Nurse Practitioner - Primary Care" in Boise, Idaho. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Idaho Health Partners Llc and her current practice location is 6051 W Emerald St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 302-5150.

Tina Monique Bossolono-williams is licensed to practice in Idaho (license number 40406) 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 1891264545.

Contact Information

Tina Monique Bossolono-williams,
6051 W Emerald St,
Boise, ID 83704-8969
(208) 302-5150
(208) 302-5155

Map and Direction




Provider's Profile

Full NameTina Monique Bossolono-williams
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location6051 W Emerald St, Boise, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tina Monique Bossolono-williams graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1891264545
  • Provider Enumeration Date: 11/23/2018
  • Last Update Date: 05/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638418031
  • Enrollment ID: I20190301001302

Medical Identifiers

Medical identifiers for Tina Monique Bossolono-williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891264545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 40406 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Valley Medical CenterCaldwell, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Idaho Health Partners Llc539506356483

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. Tina Monique Bossolono-williams allows following entities to bill medicare on her behalf.
Entity NameFamily And Adolescent Care Of Twin Falls Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477816809
PECOS PAC ID: 1759537038
Enrollment ID: O20120802000512
Entity NameSouthern Idaho Health Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952701401
PECOS PAC ID: 5395063564
Enrollment ID: O20150420000863
Entity NameFinding Home Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609327022
PECOS PAC ID: 7517248537
Enrollment ID: O20170106000679
Entity NameTellica Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760197198
PECOS PAC ID: 3577950765
Enrollment ID: O20231209000226

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. Tina Monique Bossolono-williams 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 AddressPractice Location Address
Tina Monique Bossolono-williams,
Po Box 190930,
Boise, ID 83719-0930

Ph: (208) 236-5170		Tina Monique Bossolono-williams,
6051 W Emerald St,
Boise, ID 83704-8969

Ph: (208) 302-5150

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.