Andrew Bohlman, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Winona, Minnesota. His current practice location is
420 E Sarnia St, Winona, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 454-4341.
Andrew Bohlman is licensed to practice in Minnesota (license number 23633) 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 1740611730.
Healthcare Provider's Profile
| Full Name | Andrew Bohlman |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 420 E Sarnia St, Winona, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740611730
- Provider Enumeration Date: 12/02/2013
- Last Update Date: 11/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012285752
- Enrollment ID: I20170621001059
Medical Identifiers
Medical identifiers for Andrew Bohlman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740611730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 23633 (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. Andrew Bohlman allows following entities to bill medicare on his behalf.
| Entity Name | Hiawatha Valley Mental Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184606337
PECOS PAC ID: 7113026998
Enrollment ID: O20070619000625 |
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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. Andrew Bohlman 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 |
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Andrew Bohlman, LICSW
420 E Sarnia St,
Winona, MN 55987-6365
Ph: (507) 454-4341 | Andrew Bohlman, LICSW
420 E Sarnia St,
Winona, MN 55987-6365
Ph: (507) 454-4341 |
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