Colin Boylan, MA, LPCC in Alameda, CA - Medicare Counselor Provider

Colin Boylan, MA, LPCC is a medicare enrolled "Counselor - Professional" provider in Alameda, California. His current practice location is 1242 Park St, Suite C, Alameda, California. You can reach out to his office (for appointments etc.) via phone at (510) 521-3500.

Colin Boylan is licensed to practice in California (license number 3802) 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 1124204086.

Contact Information

	Colin Boylan, MA, LPCC
	1242 Park St, Suite C, Alameda, CA 94501-5500
	(510) 521-3500
	(510) 521-8253

Map and Direction

Healthcare Provider's Profile

Full Name	Colin Boylan
Gender	Male
Speciality	Counselor - Professional
Location	1242 Park St, Alameda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124204086
Provider Enumeration Date: 01/10/2008
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3678919198
Enrollment ID: I20240307000075

Medical Identifiers

Medical identifiers for Colin Boylan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124204086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PC005459 (Pennsylvania)	Secondary
101YM0800X	Counselor - Mental Health	2830 (California)	Secondary
101YP2500X	Counselor - Professional	3802 (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. Colin Boylan allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Colin Boylan 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
Colin Boylan, MA, LPCC 2016 Alameda Ave, Alameda, CA 94501-4209 Ph: (215) 605-8231	Colin Boylan, MA, LPCC 1242 Park St, Suite C, Alameda, CA 94501-5500 Ph: (510) 521-3500

Reviews and Comments

Counselor in Alameda, CA

Ramona Quinones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Clement Ave, Alameda, CA 94501 Phone: 510-522-8363 Fax: 510-865-1930
Heather M Mann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Clement Ave, Alameda, CA 94501 Phone: 510-629-6300 Fax: 510-865-1930
Angela Pauline Palmers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Clement Ave, Alameda, CA 94501 Phone: 510-629-6300 Fax: 510-865-1930
Lonell Nolen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 Atlantic Ave Ste 101, Alameda, CA 94501 Phone: 510-268-8120
Mr. Jacob Andrew Pratt, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Clement Ave, Alameda, CA 94501 Phone: 510-629-6367 Fax: 510-306-1062
Edith Zuckerman Key, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1242 Park St Ste C, Alameda, CA 94501 Phone: 510-644-4214 Fax: 510-521-8253
Ketzia Escudero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Clement Ave Ste A, Alameda, CA 94501 Phone: 510-629-6300

Colin Boylan, MA, LPCC - Medicare Counselor in Alameda, CA