Jeralyn E Bolanos, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cerritos, California. Her current practice location is
11050 Artesia Blvd Ste F, Cerritos, California. You can reach out to her office (for appointments etc.) via phone at
(562) 860-8838.
Jeralyn E Bolanos is licensed to practice in California (license number LCSW118720) 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 1922586072.
Healthcare Provider's Profile
| Full Name | Jeralyn E Bolanos |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 11050 Artesia Blvd Ste F, Cerritos, California |
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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: 1922586072
- Provider Enumeration Date: 07/31/2018
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042656977
- Enrollment ID: I20240313002667
Medical Identifiers
Medical identifiers for Jeralyn E Bolanos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922586072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 97310 (California) | Secondary |
| 104100000X | Social Worker | ACSW97310 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | ACSW97310 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW118720 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Jeralyn E Bolanos allows following entities to bill medicare on her behalf.
| Entity Name | Special Service For Groups |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952442949
PECOS PAC ID: 2769396886
Enrollment ID: O20031113000561 |
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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. Jeralyn E Bolanos 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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Jeralyn E Bolanos, LCSW
11050 Artesia Blvd Ste F,
Cerritos, CA 90703-2542
Ph: (562) 860-8838 | Jeralyn E Bolanos, LCSW
11050 Artesia Blvd Ste F,
Cerritos, CA 90703-2542
Ph: (562) 860-8838 |
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