Tammy M Bolles, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chuluota, Florida. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Doctor On Demand Professionals P C and her current practice location is
1708 Old River Trl., Chuluota, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 781-1682.
Tammy M Bolles is licensed to practice in Florida (license number SW13585) 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 1669980439.
Healthcare Provider's Profile
Full Name | Tammy M Bolles |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 12 Years |
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Location | 1708 Old River Trl., Chuluota, Florida |
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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:
- Tammy M Bolles graduated from medical school in 2013
NPI Data:
- NPI Number: 1669980439
- Provider Enumeration Date: 01/16/2018
- Last Update Date: 01/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 5698100071
- Enrollment ID: I20200121000345
Medical Identifiers
Medical identifiers for Tammy M Bolles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669980439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW13585 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Doctor On Demand Professionals P C | 9436464567 | 119 |
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. Tammy M Bolles allows following entities to bill medicare on her behalf.
Entity Name | Doctor On Demand Professionals P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20150818004696 |
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Entity Name | Everyones Counseling Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285029058 PECOS PAC ID: 4486963766 Enrollment ID: O20151028000587 |
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Entity Name | Ehome Behavioral Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538609003 PECOS PAC ID: 9133541964 Enrollment ID: O20200623003209 |
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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. Tammy M Bolles 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 |
Tammy M Bolles, LCSW 1708 Old River Trl, Chuluota, FL 32766-8603 Ph: (305) 781-1682 | Tammy M Bolles, LCSW 1708 Old River Trl., Chuluota, FL 32766-3276 Ph: (305) 781-1682 |
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