Morgan Bolen, PSYD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Ann Arbor, Michigan. Her current practice location is
4250 Plymouth Rd, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 764-0231.
Morgan Bolen is licensed to practice in Michigan (license number 6301019022) 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 1700331675.
Healthcare Provider's Profile
| Full Name | Morgan Bolen |
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| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 4250 Plymouth Rd, Ann Arbor, Michigan |
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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: 1700331675
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 01/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678945532
- Enrollment ID: I20230202002434
Medical Identifiers
Medical identifiers for Morgan Bolen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700331675 | NPI | - | NPPES |
| 101YM0800X | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Oregon) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 6301019022 (Michigan) | 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. Morgan Bolen allows following entities to bill medicare on her behalf.
| Entity Name | Regents Of The University Of Michigan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568487130
PECOS PAC ID: 3779496856
Enrollment ID: O20031121000462 |
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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. Morgan Bolen 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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Morgan Bolen, PSYD
3621 S State St,
Ann Arbor, MI 48108-1633
Ph: (734) 647-5299 | Morgan Bolen, PSYD
4250 Plymouth Rd,
Ann Arbor, MI 48109-2700
Ph: (734) 764-0231 |
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