Mrs Jerylyn Bohlender, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Clearlake, California. Her current practice location is
15230 Lakeshore Dr, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at
(707) 995-4500.
Mrs Jerylyn Bohlender is licensed to practice in California (license number 91534) 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 1750782488.
Healthcare Provider's Profile
| Full Name | Mrs Jerylyn Bohlender |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 15230 Lakeshore Dr, Clearlake, California |
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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:
- Mrs Jerylyn Bohlender attended and graduated from in
NPI Data:
- NPI Number: 1750782488
- Provider Enumeration Date: 09/12/2014
- Last Update Date: 02/02/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Jerylyn Bohlender such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750782488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RW8734 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 91534 (California) | Primary |
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. Mrs Jerylyn Bohlender 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 |
|---|
Mrs Jerylyn Bohlender, LCSW
15230 Lakeshore Dr,
Clearlake, CA 95422-8107
Ph: (707) 995-4500 | Mrs Jerylyn Bohlender, LCSW
15230 Lakeshore Dr,
Clearlake, CA 95422-8107
Ph: (707) 995-4500 |
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