Kathleen C Bobulsky, LISW in Mentor, OH - Medicare Social Worker Provider

Kathleen C Bobulsky, LISW is a medicare enrolled "Social Worker - Clinical" provider in Mentor, Ohio. Her current practice location is 7232 Justin Way, Mentor, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 578-8200.

Kathleen C Bobulsky is licensed to practice in Ohio (license number I-0003383) 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 1881739159.

Contact Information

	Kathleen C Bobulsky, LISW
	7232 Justin Way, Mentor, OH 44060-4881
	(440) 578-8200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen C Bobulsky
Gender	Female
Speciality	Social Worker - Clinical
Location	7232 Justin Way, Mentor, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881739159
Provider Enumeration Date: 02/21/2007
Last Update Date: 02/04/2021

Medicare PECOS Information:

PECOS PAC ID: 5294995502
Enrollment ID: I20120323000360

Medical Identifiers

Medical identifiers for Kathleen C Bobulsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881739159	NPI	-	NPPES
0187786	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I-0003383 (Ohio)	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. Kathleen C Bobulsky allows following entities to bill medicare on her behalf.

Entity Name	Signature Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762

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. Kathleen C Bobulsky 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
Kathleen C Bobulsky, LISW 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200	Kathleen C Bobulsky, LISW 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200

Reviews and Comments

Social Worker in Mentor, OH

Melissa Marie Heidemann, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 Fax: 440-205-2417
Ophira Dar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8500 Station St, Mentor, OH 44060 Phone: 440-721-8979
Melissa Weber, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200
Mr. Evan Andrew Langholt, MSSA LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7350 Palisades Pkwy, Mentor, OH 44060 Phone: 440-918-1000 Fax: 440-918-1029
Yih-ting Huang Merk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200
Mr. Harry Michael Core, LISW MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9500 Mentor Avenue, Ste 320, Mentor, OH 44060 Phone: 440-639-1221 Fax: 440-639-1112
Ms. Susan W Goldhamer, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 Fax: 440-205-2417

Kathleen C Bobulsky, LISW - Medicare Clinical Social Worker in Mentor, OH