Mr Jonathan Craig Boydston, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Florida. His current practice location is
13936 Grover Rd., Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 855-8601.
Mr Jonathan Craig Boydston is licensed to practice in Florida (license number SW 1874) 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 1629042080.
Healthcare Provider's Profile
Full Name | Mr Jonathan Craig Boydston |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 13936 Grover Rd., Jacksonville, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629042080
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486843596
- Enrollment ID: I20110105000560
Medical Identifiers
Medical identifiers for Mr Jonathan Craig Boydston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629042080 | NPI | - | NPPES |
761910300 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | SW 1874 (Florida) | 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 Jonathan Craig Boydston allows following entities to bill medicare on his behalf.
Entity Name | Bridgeway Center, Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1578677076 PECOS PAC ID: 0446153084 Enrollment ID: O20040130000128 |
---|
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 Jonathan Craig Boydston 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 Jonathan Craig Boydston, LCSW 13936 Grover Rd., Jacksonville, FL 32226-5063 Ph: (850) 855-8601 | Mr Jonathan Craig Boydston, LCSW 13936 Grover Rd., Jacksonville, FL 32226-5063 Ph: (850) 855-8601 |
Reviews and Comments