Mr Jerrod David Boles, LPC in Clackamas, OR - Medicare Counselor Provider

Mr Jerrod David Boles, LPC is a medicare enrolled "Counselor - Mental Health" provider in Clackamas, Oregon. His current practice location is 10180 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 571-0860.

Mr Jerrod David Boles is licensed to practice in Oregon (license number C4544) 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 1962646133.

Contact Information

	Mr Jerrod David Boles, LPC
	10180 Se Sunnyside Rd, Clackamas, OR 97015-8970
	(503) 571-0860
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jerrod David Boles
Gender	Male
Speciality	Counselor - Mental Health
Location	10180 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962646133
Provider Enumeration Date: 04/30/2009
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 2163875469
Enrollment ID: I20240201003337

Medical Identifiers

Medical identifiers for Mr Jerrod David Boles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962646133	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C4544 (Oregon)	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 Jerrod David Boles allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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 Jerrod David 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 Jerrod David Boles, LPC 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 571-0860	Mr Jerrod David Boles, LPC 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 571-0860

Reviews and Comments

Counselor in Clackamas, OR

Aaron Michael Heine, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10810 Se Highway 212, Clackamas, OR 97015 Phone: 503-655-8045 Fax: 503-655-6806
Ms. Denise Lynette Best, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15645 Se 114th Ave, Suite #201, Clackamas, OR 97015 Phone: 503-303-5911 Fax: 503-344-6316
Letitia Renee Perry, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Mr. Mark William Douglass, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-517-0878 Fax: 503-517-0866
James S Frahm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8800 Se Sunnyside Rd Ste 122s, Clackamas, OR 97015 Phone: 971-808-2686
Hailee Kendrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12901 Se 97th Ave Ste 340, Clackamas, OR 97015 Phone: 503-655-8045 Fax: 503-655-6806
Rochelle Marie Duvall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12901 Se 97th Ave Ste 340, Clackamas, OR 97015 Phone: 503-655-8045 Fax: 503-655-6806

Mr Jerrod David Boles, LPC - Medicare Counselor in Clackamas, OR