Mr Blaine Robert Boverhuis, MSW, LICSW in Edina, MN

Mr Blaine Robert Boverhuis, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Edina, Minnesota. His current practice location is 6401 France Ave S, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 924-2888.

Mr Blaine Robert Boverhuis is licensed to practice in Minnesota (license number 19085) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275210338.

Contact Information

	Mr Blaine Robert Boverhuis, MSW, LICSW
	6401 France Ave S, Edina, MN 55435-2104
	(952) 924-2888
	(952) 924-2880

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Blaine Robert Boverhuis
Gender	Male
Speciality	Social Worker - Clinical
Location	6401 France Ave S, Edina, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275210338
Provider Enumeration Date: 06/30/2023
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 5991167363
Enrollment ID: I20230816003745

Medical Identifiers

Medical identifiers for Mr Blaine Robert Boverhuis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275210338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	19085 (Minnesota)	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. Mr Blaine Robert Boverhuis allows following entities to bill medicare on his behalf.

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Mr Blaine Robert Boverhuis 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
Mr Blaine Robert Boverhuis, MSW, LICSW 2509 27th Ave N, Minneapolis, MN 55411-1001 Ph: (651) 403-3585	Mr Blaine Robert Boverhuis, MSW, LICSW 6401 France Ave S, Edina, MN 55435-2104 Ph: (952) 924-2888

Reviews and Comments

Social Worker in Edina, MN

Ms. Cindy S Libman, LICSW LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6550 York Ave, Suite 207, Edina, MN 55435 Phone: 952-922-7679 Fax: 952-922-0339
Anne Weerasinghe, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6804 Iroquois Cir, Edina, MN 55439 Phone: 612-564-9772 Fax: 612-225-1854
Kathryn Solveig Christenson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6565 France Ave S Ste 402, Edina, MN 55435 Phone: 952-903-1270 Fax: 952-922-2049
Kelly Sternhagen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7401 Metro Blvd Ste 250, Edina, MN 55439 Phone: 612-517-3667
Kim Hill Smith, MSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3209 West 76th Street, Suite 204, Edina, MN 55435 Phone: 952-285-5566 Fax: 952-925-5614
Rebeka Ellen Mcrad, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5666 Lincoln Dr Ste 210, Edina, MN 55436 Phone: 612-367-6029
Talia Singer, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7301 Ohms Ln Ste 450, Edina, MN 55439 Phone: 763-772-7368

Mr Blaine Robert Boverhuis, MSW, LICSW - Medicare Clinical Social Worker in Edina, MN