Carmen Lidia Bolivar, in Huntersville, NC - Medicare Counselor Provider

Carmen Lidia Bolivar, is a medicare enrolled "Counselor - Mental Health" provider in Huntersville, North Carolina. Her current practice location is 9206 Hollow Bend Dr, Huntersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (305) 707-8615.

Carmen Lidia Bolivar is licensed to practice in North Carolina (license number 16651) 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 1568942407.

Contact Information

	Carmen Lidia Bolivar,
	9206 Hollow Bend Dr, Huntersville, NC 28078-5095
	(305) 707-8615
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carmen Lidia Bolivar
Gender	Female
Speciality	Counselor - Mental Health
Location	9206 Hollow Bend Dr, Huntersville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568942407
Provider Enumeration Date: 08/20/2018
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 2961851795
Enrollment ID: I20231205003881

Medical Identifiers

Medical identifiers for Carmen Lidia Bolivar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568942407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH13466 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	88155 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	15890 (California)	Secondary
101YP2500X	Counselor - Professional	LPC009873 (Georgia)	Secondary
101YM0800X	Counselor - Mental Health	16651 (North Carolina)	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. Carmen Lidia Bolivar allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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. Carmen Lidia Bolivar 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
Carmen Lidia Bolivar, 9206 Hollow Bend Dr, Huntersville, NC 28078-5095 Ph: (305) 707-8615	Carmen Lidia Bolivar, 9206 Hollow Bend Dr, Huntersville, NC 28078-5095 Ph: (305) 707-8615

Reviews and Comments

Counselor in Huntersville, NC

Kristen Morton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16405 Northcross Dr Ste G2, Huntersville, NC 28078 Phone: 704-896-7776
Ms. Francie Elaine Hartsog-dolack, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15905 Brookway Dr Ste 4101, Huntersville, NC 28078 Phone: 704-960-2632
Melissa Marie Switek, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9723 Northcross Center Ct Ste E, Huntersville, NC 28078 Phone: 704-981-2306 Fax: 704-981-2425
Odelta Gutierrez Clontz, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 S Old Statesville Rd, Huntersville, NC 28078 Phone: 704-680-6204 Fax: 704-659-4141
Anita Durr, M.S., ED.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10324 Linksland Dr, Huntersville, NC 28078 Phone: 336-209-8500
Christine Renee Macellaro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16507 Northcross Dr Ste F, Huntersville, NC 28078 Phone: 980-999-4006 Fax: 980-999-4058
Carrisa J Ryan, M.A. , LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10210 Hickorywood Hill Ave, Suite 210, Huntersville, NC 28078 Phone: 704-651-2180

Carmen Lidia Bolivar, - Medicare Counselor in Huntersville, NC