Kennedy Boulis, LLMSW in Saginaw, MI - Medicare Social Worker Provider

Kennedy Boulis, LLMSW is a medicare enrolled "Social Worker - Clinical" provider in Saginaw, Michigan. Her current practice location is 700 Court St, Saginaw, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 921-5375.

Kennedy Boulis is licensed to practice in Michigan (license number 6801108061) 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 1164011474.

Contact Information

	Kennedy Boulis, LLMSW
	700 Court St, Saginaw, MI 48602-4251
	(989) 921-5375
	(989) 921-5373

Map and Direction

Healthcare Provider's Profile

Full Name	Kennedy Boulis
Gender	Female
Speciality	Social Worker - Clinical
Location	700 Court St, Saginaw, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164011474
Provider Enumeration Date: 01/12/2021
Last Update Date: 01/10/2023

Medicare PECOS Information:

PECOS PAC ID: 8325414097
Enrollment ID: I20221020002077

Medical Identifiers

Medical identifiers for Kennedy Boulis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164011474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801108061 (Michigan)	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. Kennedy Boulis allows following entities to bill medicare on her behalf.

Entity Name	Great Lakes Bay Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871684761 PECOS PAC ID: 2466369046 Enrollment ID: O20040126000171

Entity Name	Heart And Mind Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215508627 PECOS PAC ID: 6406233220 Enrollment ID: O20220517002734

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. Kennedy Boulis 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
Kennedy Boulis, LLMSW 501 Lapeer Ave, Saginaw, MI 48607-1203 Ph: (989) 759-6464	Kennedy Boulis, LLMSW 700 Court St, Saginaw, MI 48602-4251 Ph: (989) 921-5375

Reviews and Comments

Social Worker in Saginaw, MI

Ms. Cynthia A Joseph, MSW,LMSW,CAAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 N Michigan Ave, Suite 207, Saginaw, MI 48602 Phone: 989-793-2515 Fax: 989-793-2517
Mr. Travis John Vanderlist, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Weiss St, Saginaw, MI 48602 Phone: 989-497-2500 Fax: 989-321-4922
Karissa Irene Piar, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2100 Hemmeter Rd., Saginaw, MI 48603 Phone: 989-799-2100 Fax: 989-799-2637
Andrea Campbell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Hancock St, Saginaw, MI 48602 Phone: 989-797-3526
Christine Marie Stockford, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3235 Congress Ave, Saginaw, MI 48602 Phone: 989-793-4790 Fax: 989-793-1641
Andrea Koutras, LLMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3201 Hallmark Ct, Saginaw, MI 48603 Phone: 989-746-7500 Fax: 989-746-4658
Zachary Jaime, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 64 Davis Dr, Saginaw, MI 48602 Phone: 989-714-3564

Kennedy Boulis, LLMSW - Medicare Clinical Social Worker in Saginaw, MI