Mr Brian Keith Boles, WYOMING LPC 1705 in Casper, WY

Mr Brian Keith Boles, WYOMING LPC 1705 is a medicare enrolled "Counselor - Professional" provider in Casper, Wyoming. His current practice location is 1430 Wilkins Cir, Casper, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 237-9583.

Mr Brian Keith Boles is licensed to practice in Wyoming (license number 1705) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912376575.

Contact Information

	Mr Brian Keith Boles, WYOMING LPC 1705
	1430 Wilkins Cir, Casper, WY 82601-1336
	(307) 237-9583
	(307) 265-7277

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brian Keith Boles
Gender	Male
Speciality	Counselor - Professional
Location	1430 Wilkins Cir, Casper, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912376575
Provider Enumeration Date: 09/24/2015
Last Update Date: 01/05/2018

Medicare PECOS Information:

PECOS PAC ID: 3274073143
Enrollment ID: I20240905003763

Medical Identifiers

Medical identifiers for Mr Brian Keith Boles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912376575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1705 (Wyoming)	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. Mr Brian Keith Boles allows following entities to bill medicare on his behalf.

Entity Name	Joseph Yeretsian Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942668165 PECOS PAC ID: 5597893313 Enrollment ID: O20200318000673

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. Mr Brian Keith 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
Mr Brian Keith Boles, WYOMING LPC 1705 1430 Wilkins Cir, Casper, WY 82601-1336 Ph: (307) 237-9583	Mr Brian Keith Boles, WYOMING LPC 1705 1430 Wilkins Cir, Casper, WY 82601-1336 Ph: (307) 237-9583

Reviews and Comments

Counselor in Casper, WY

Miss Jane Elizabeth Matthews, M.S., P.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277
Daniel J Gallegos, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Micro Rd, Casper, WY 82601 Phone: 307-262-9961
Heather Paige Thomas, MA, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 212, Casper, WY 82601 Phone: 307-577-3050
Emily Kathrine Clark, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5725 Highland Dr, Casper, WY 82609 Phone: 307-265-3977
Mrs. Martha Jane Carter, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277
Michelle Grissom, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277
Mr. Scott Alan Stinson, BSW, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Payne Ave, Casper, WY 82609 Phone: 307-267-4626

Mr Brian Keith Boles, WYOMING LPC 1705 - Medicare Counselor in Casper, WY