Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Eliette Yadira Bouie, PA-C

Individual provider Pain Medicine Physician · NPI 1538132261

Mrs. Eliette Yadira Bouie, PA-C is a Physician Assistant in Lavale, Maryland. Qualified in 1989, 37 years ago. Practices with Pain and Spine Specialists of Maryland LLC, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
37
Licensed in
MD
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Gonzaga Interventional Pain Management 957 National Hwy
Lavale, MD 21502-0001
Phone: (240) 362-7128
Fax: (240) 362-7731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence C0003577 (MD)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1538132261
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESNovember 26, 2024
Certification dateNovember 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Pain And Spine Specialists Of Maryland Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Lavale