Robyn Ann Boles, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Mount Pleasant, Texas. Her current practice location is
3740 Farm Road 1735, Mount Pleasant, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 374-8040.
Robyn Ann Boles is licensed to practice in Texas (license number 61641) 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 1205314705.
Healthcare Provider's Profile
| Full Name | Robyn Ann Boles |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3740 Farm Road 1735, Mount Pleasant, Texas |
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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: 1205314705
- Provider Enumeration Date: 08/06/2018
- Last Update Date: 01/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244581833
- Enrollment ID: I20180920001592
Medical Identifiers
Medical identifiers for Robyn Ann Boles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205314705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13185 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 61641 (Texas) | 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. Robyn Ann Boles allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210326001541 |
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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. Robyn Ann 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 |
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Robyn Ann Boles, LCSW, LCDC
Po Box 532,
Mount Pleasant, TX 75456-0532
Ph: (903) 374-8040 | Robyn Ann Boles, LCSW, LCDC
3740 Farm Road 1735,
Mount Pleasant, TX 75455-0928
Ph: (903) 374-8040 |
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