Dr Teresa Ann Boles, LMSW, PHD is a medicare enrolled "Social Worker - Clinical" provider in Detroit, Michigan. She graduated from healthcare school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Henry Ford Medical Group and her current practice location is
2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 214-7248.
Dr Teresa Ann Boles is licensed to practice in Michigan (license number 6801069263) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861619603.
Healthcare Provider's Profile
| Full Name | Dr Teresa Ann Boles |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 2799 W Grand Blvd, Detroit, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Teresa Ann Boles graduated from medical school in 1998
NPI Data:
- NPI Number: 1861619603
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 02/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981832052
- Enrollment ID: I20140117000302
Medical Identifiers
Medical identifiers for Dr Teresa Ann Boles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861619603 | NPI | - | NPPES |
| 6801069263 | Other | MI | MSW |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 6801069263 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801069263 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Henry Ford Medical Group | 0547178311 | 2124 |
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. Dr Teresa Ann Boles allows following entities to bill medicare on her behalf.
| Entity Name | Henry Ford Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689732414
PECOS PAC ID: 0547178311
Enrollment ID: O20031210000509 |
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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. Dr Teresa Ann Boles 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 |
|---|
Dr Teresa Ann Boles, LMSW, PHD
2799 West Grand Blvd,
Detroit, MI 48202
Ph: () - | Dr Teresa Ann Boles, LMSW, PHD
2799 W Grand Blvd,
Detroit, MI 48202-2608
Ph: (248) 214-7248 |
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