Carolyn Marie Bollinger, LICSW in Lake Elmo, MN - Medicare Social Worker Provider

Carolyn Marie Bollinger, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Lake Elmo, Minnesota. Her current practice location is 8550 Hudson Blvd N Ste 100, Lake Elmo, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 254-8580.

Carolyn Marie Bollinger is licensed to practice in Wisconsin (license number 11050-123) 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 1316657117.

Contact Information

	Carolyn Marie Bollinger, LICSW
	8550 Hudson Blvd N Ste 100, Lake Elmo, MN 55042-8706
	(651) 254-8580
	(651) 254-0601

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Marie Bollinger
Gender	Female
Speciality	Social Worker - Clinical
Location	8550 Hudson Blvd N Ste 100, Lake Elmo, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316657117
Provider Enumeration Date: 12/02/2022
Last Update Date: 12/02/2022

Medicare PECOS Information:

PECOS PAC ID: 9830561752
Enrollment ID: I20230202000359

Medical Identifiers

Medical identifiers for Carolyn Marie Bollinger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316657117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	28021 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	11050-123 (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. Carolyn Marie Bollinger allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Carolyn Marie Bollinger 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
Carolyn Marie Bollinger, LICSW 8550 Hudson Blvd N Ste 100, Lake Elmo, MN 55042-8706 Ph: (651) 254-8580	Carolyn Marie Bollinger, LICSW 8550 Hudson Blvd N Ste 100, Lake Elmo, MN 55042-8706 Ph: (651) 254-8580

Reviews and Comments

Social Worker in Lake Elmo, MN

Emily E Adrian, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580
Carlene Bertrand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580
Tim Johnson, M.S.W., LICSW & LMFT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8669 Eagle Point Blvd, Lake Elmo, MN 55042 Phone: 651-379-0444 Fax: 651-379-0448
Cheryl Weber, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580
Susan Whalen, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3394 Lake Elmo Ave N, Lake Elmo, MN 55042 Phone: 651-303-5522
Coleen Maclean Groen, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580

Carolyn Marie Bollinger, LICSW - Medicare Clinical Social Worker in Lake Elmo, MN