Shelby H Bollenbacher, LCSW in Glendora, CA - Medicare Social Worker Provider

Shelby H Bollenbacher, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Glendora, California. Her current practice location is 1160 S Grand Ave, Glendora, California. You can reach out to her office (for appointments etc.) via phone at (626) 335-5980.

Shelby H Bollenbacher is licensed to practice in California (license number LCSW81137) 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 1134418007.

Contact Information

	Shelby H Bollenbacher, LCSW
	1160 S Grand Ave, Glendora, CA 91740-5000
	(626) 335-5980
	(626) 335-5989

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby H Bollenbacher
Gender	Female
Speciality	Social Worker - Clinical
Location	1160 S Grand Ave, Glendora, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134418007
Provider Enumeration Date: 03/31/2011
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 8325398993
Enrollment ID: I20180830003036

Medical Identifiers

Medical identifiers for Shelby H Bollenbacher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134418007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW81137 (California)	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. Shelby H Bollenbacher allows following entities to bill medicare on her behalf.

Entity Name	Pacific Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926

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. Shelby H Bollenbacher 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
Shelby H Bollenbacher, LCSW 1160 S Grand Ave, Glendora, CA 91740-5000 Ph: (626) 335-5980	Shelby H Bollenbacher, LCSW 1160 S Grand Ave, Glendora, CA 91740-5000 Ph: (626) 335-5980

Reviews and Comments

Social Worker in Glendora, CA

Ms. Diane Hutt Anderson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2605 E. Foothill Boulevard, #109, Glendora, CA 91740 Phone: 909-967-6236 Fax: 909-861-9371
Adrianne Ludwig, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 947 E Walnut Ave, Glendora, CA 91741 Phone: 626-963-5729
Mrs. Lorraine Elise Cummings, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1145 S Grand Ave, Glendora, CA 91740 Phone: 626-201-1717 Fax: 951-797-0266
Monica Jacqueline Contreras, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 2071, Glendora, CA 91740 Phone: 626-428-1468
Louise Polzel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 S Grand Ave, Glendora, CA 91741 Phone: 951-946-1106
Maria Dolores Ramos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980

Shelby H Bollenbacher, LCSW - Medicare Clinical Social Worker in Glendora, CA