Mr Jeremy Craig Bolden, MSW in Lacey, WA - Medicare Social Worker Provider

Mr Jeremy Craig Bolden, MSW is a medicare enrolled "Social Worker - Clinical" provider in Lacey, Washington. His current practice location is 4804 Lacey Blvd Se Ste A, Lacey, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 799-5782.

Mr Jeremy Craig Bolden is licensed to practice in Washington (license number SC60970302) 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 1649830647.

Contact Information

	Mr Jeremy Craig Bolden, MSW
	4804 Lacey Blvd Se Ste A, Lacey, WA 98503-5733
	(360) 799-5782
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeremy Craig Bolden
Gender	Male
Speciality	Social Worker - Clinical
Location	4804 Lacey Blvd Se Ste A, Lacey, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649830647
Provider Enumeration Date: 06/20/2019
Last Update Date: 06/20/2019

Medicare PECOS Information:

PECOS PAC ID: 7618332974
Enrollment ID: I20230420002919

Medical Identifiers

Medical identifiers for Mr Jeremy Craig Bolden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649830647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SC60970302 (Washington)	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 Jeremy Craig Bolden allows following entities to bill medicare on his behalf.

Entity Name	Pathways Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306004775 PECOS PAC ID: 5496053803 Enrollment ID: O20160419001734

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 Jeremy Craig Bolden 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 Jeremy Craig Bolden, MSW 6049 Merlot Ln Se, Lacey, WA 98513-2243 Ph: (253) 335-0607	Mr Jeremy Craig Bolden, MSW 4804 Lacey Blvd Se Ste A, Lacey, WA 98503-5733 Ph: (360) 799-5782

Reviews and Comments

Social Worker in Lacey, WA

Kristina Noel Callender, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 677 Woodland Square Loop Se Unit A-16, Lacey, WA 98503 Phone: 360-999-8467
Ms. Christine Mcmahon, LCSW; LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7031 Mullen Rd Se, Lacey, WA 98503 Phone: 516-312-9939
Penelope Nancy Lynn Pavlinovic, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 677 Woodland Square Loop Se, Lacey, WA 98503 Phone: 206-979-4005
Sejahdah Brianna Brimmer, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 719 Sleater Kinney Rd Se, Lacey, WA 98503 Phone: 360-528-0035
Kassandra Young, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 Woodland Square Loop Se Ste 40, Lacey, WA 98503 Phone: 360-754-1338
Cary C Reid, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6763 Steamer Dr Se, Lacey, WA 98513 Phone: 907-738-9700
Kristen Brundage, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2803 Saga Ct Ne, Lacey, WA 98516 Phone: 719-210-2301

Mr Jeremy Craig Bolden, MSW - Medicare Clinical Social Worker in Lacey, WA