Kellilynn Bosak, LCSW in Coos Bay, OR - Medicare Clinical Social Worker Provider

Kellilynn Bosak, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Coos Bay, Oregon. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice North Bend Medical Center Inc and her current practice location is 1900 Woodland Dr, Coos Bay, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 267-5151.

Kellilynn Bosak is licensed to practice in Oregon (license number L8472) 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 1205363421.

Contact Information

	Kellilynn Bosak, LCSW
	1900 Woodland Dr, Coos Bay, OR 97420-2099
	(541) 267-5151
	(541) 266-4554

Map and Direction

Healthcare Provider's Profile

Full Name	Kellilynn Bosak
Gender	Female
Speciality	Clinical Social Worker
Experience	9 Years
Location	1900 Woodland Dr, Coos Bay, Oregon
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:

Kellilynn Bosak graduated from medical school in 2015

NPI Data:

NPI Number: 1205363421
Provider Enumeration Date: 05/18/2017
Last Update Date: 03/18/2024

Medicare PECOS Information:

PECOS PAC ID: 8729357892
Enrollment ID: I20200527000384

Medical Identifiers

Medical identifiers for Kellilynn Bosak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205363421	NPI	-	NPPES
500779268	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149019376 (Illinois)	Secondary
1041C0700X	Social Worker - Clinical	L8472 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Bend Medical Center Inc	5597677716	79

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. Kellilynn Bosak allows following entities to bill medicare on her behalf.

Entity Name	North Bend Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138

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. Kellilynn Bosak 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
Kellilynn Bosak, LCSW 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151	Kellilynn Bosak, LCSW 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151

Reviews and Comments

Social Worker in Coos Bay, OR

Ms. Toni Wyatt-kirkeby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1620 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-266-8640
Mr. Jeffrey G. Friedman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-269-7987
Candace Nicole Wallis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 Central Ave Ste 290, Coos Bay, OR 97420 Phone: 541-267-2113
Ms. Denise E. Stuntzner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Carol J. Embury, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-269-7987
Mr. Richard L Bossardt, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-5333 Fax: 541-269-5609

Kellilynn Bosak, LCSW - Medicare Clinical Social Worker in Coos Bay, OR