Bonnie Lynn Balsamo, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Colebrook, New Hampshire. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Weeks Medical Center and her current practice location is
141 Corliss Ln, Colebrook, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 788-5075.
Bonnie Lynn Balsamo is licensed to practice in New Hampshire (license number 2009) 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 1164776431.
Healthcare Provider's Profile
Full Name | Bonnie Lynn Balsamo |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 18 Years |
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Location | 141 Corliss Ln, Colebrook, New Hampshire |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Bonnie Lynn Balsamo graduated from medical school in 2006
NPI Data:
- NPI Number: 1164776431
- Provider Enumeration Date: 11/07/2012
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799069993
- Enrollment ID: I20170413002253
Medical Identifiers
Medical identifiers for Bonnie Lynn Balsamo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164776431 | NPI | - | NPPES |
3135038 | Medicaid | NH | |
6710489 | Medicaid | VT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 089.0127277 (Vermont) | Secondary |
1041C0700X | Social Worker - Clinical | 8970 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 118984 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | 2009 (New Hampshire) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Weeks Medical Center | 2769461284 | 56 |
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. Bonnie Lynn Balsamo allows following entities to bill medicare on her behalf.
Entity Name | Weeks Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508819566 PECOS PAC ID: 2769461284 Enrollment ID: O20040719000284 |
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Entity Name | Weeks Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366900219 PECOS PAC ID: 2769461284 Enrollment ID: O20190507002245 |
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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. Bonnie Lynn Balsamo 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 |
Bonnie Lynn Balsamo, LICSW 173 Middle St, Lancaster, NH 03584-3508 Ph: (603) 788-5029 | Bonnie Lynn Balsamo, LICSW 141 Corliss Ln, Colebrook, NH 03576-3206 Ph: (603) 788-5075 |
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