Catherine A Boellner, LISW, MSW is a medicare enrolled "Social Worker - Clinical" provider in Toledo, Ohio. Her current practice location is
4159 N Holland Sylvania Rd Ste 205, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 517-6564.
Catherine A Boellner is licensed to practice in Ohio (license number I.2203678) 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 1497221428.
Healthcare Provider's Profile
| Full Name | Catherine A Boellner |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4159 N Holland Sylvania Rd Ste 205, Toledo, Ohio |
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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: 1497221428
- Provider Enumeration Date: 10/17/2018
- Last Update Date: 05/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436522984
- Enrollment ID: I20230302001935
Medical Identifiers
Medical identifiers for Catherine A Boellner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497221428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | I.2203678 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2203678 (Ohio) | 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. Catherine A Boellner allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220604000326 |
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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. Catherine A Boellner 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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Catherine A Boellner, LISW, MSW
840 Gibson Dr,
Toledo, OH 43612-3918
Ph: (419) 779-5982 | Catherine A Boellner, LISW, MSW
4159 N Holland Sylvania Rd Ste 205,
Toledo, OH 43623-4801
Ph: (419) 517-6564 |
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