Mrs Maegan R S Bolin, LMHC, CDP in Longview, WA

Mrs Maegan R S Bolin, LMHC, CDP is a medicare enrolled "Counselor - Mental Health" provider in Longview, Washington. Her current practice location is 922 Fir St, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 353-9422.

Mrs Maegan R S Bolin is licensed to practice in Washington (license number LH60937291) 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 1558804997.

Contact Information

	Mrs Maegan R S Bolin, LMHC, CDP
	922 Fir St, Longview, WA 98632-2525
	(360) 353-9422
	(360) 353-9440

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Maegan R S Bolin
Gender	Female
Speciality	Counselor - Mental Health
Location	922 Fir St, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558804997
Provider Enumeration Date: 12/01/2016
Last Update Date: 11/09/2021

Medicare PECOS Information:

PECOS PAC ID: 5193174407
Enrollment ID: I20231212003244

Medical Identifiers

Medical identifiers for Mrs Maegan R S Bolin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558804997	NPI	-	NPPES
500733467	Medicaid	OR
500718645	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	T-17-179 (Oregon)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	CO60901400 (Washington)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	17-07-15 (Oregon)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	CP60996825 (Washington)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	MC60901399 (Washington)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	LH60937291 (Washington)	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. Mrs Maegan R S Bolin allows following entities to bill medicare on her behalf.

Entity Name	Cowlitz Indian Tribe
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740562909 PECOS PAC ID: 8820030133 Enrollment ID: O20050526000589

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. Mrs Maegan R S Bolin 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
Mrs Maegan R S Bolin, LMHC, CDP Po Box 2429, Longview, WA 98632-8486 Ph: (360) 353-9494	Mrs Maegan R S Bolin, LMHC, CDP 922 Fir St, Longview, WA 98632-2525 Ph: (360) 353-9422

Reviews and Comments

Counselor in Longview, WA

Mohammed Yunus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Danielle L Jenkins Thompson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203
Marena Berishev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419
Mrs. Michelle Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Melissa Jarvis, Counselor Medicare: Medicare Enrolled Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0187
Rachel A Gaines, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 Fax: 360-200-6736
Charlotte Anne Rosen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave, Suite 100, Longview, WA 98632 Phone: 360-636-5653

Mrs Maegan R S Bolin, LMHC, CDP - Medicare Counselor in Longview, WA