Mary Maiio Bolgan, is a
Social Worker - Clinical based in Wilmington, North Carolina. Mary Maiio Bolgan is licensed to practice in North Carolina (license number P018195) and her current practice location is
5027 Wrightsville Ave, Wilmington, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 520-1258.
NPI number for Mary Maiio Bolgan is 1699484410 and her current mailing address is 321 S Kerr Ave, Wilmington, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699484410.
Healthcare Provider's Profile
Full Name | Mary Maiio Bolgan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5027 Wrightsville Ave, Wilmington, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699484410
- Provider Enumeration Date: 11/21/2022
- Last Update Date: 11/21/2022
Medical Identifiers
Medical identifiers for Mary Maiio Bolgan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699484410 | NPI | - | NPPES |
P018195 | Other | NC | LCSW-A |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-28380 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P018195 (North Carolina) | Primary |
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. Mary Maiio Bolgan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Maiio Bolgan, 321 S Kerr Ave, Wilmington, NC 28403-1450 Ph: (843) 298-3142 | Mary Maiio Bolgan, 5027 Wrightsville Ave, Wilmington, NC 28403-7046 Ph: (910) 520-1258 |
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