Shawn W Boley, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Vancouver, Washington. He graduated from healthcare school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mindful Therapy Group Pc and his current practice location is
6015 Ne 37th St, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 941-8538.
Shawn W Boley is licensed to practice in Washington (license number LW60787398) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235672957.
Healthcare Provider's Profile
| Full Name | Shawn W Boley |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 6015 Ne 37th St, Vancouver, Washington |
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| Accepts Medicare Assignments | Yes. He 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:
- Shawn W Boley graduated from medical school in 2010
NPI Data:
- NPI Number: 1235672957
- Provider Enumeration Date: 11/29/2016
- Last Update Date: 02/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 0446646921
- Enrollment ID: I20220409000346
Medical Identifiers
Medical identifiers for Shawn W Boley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235672957 | NPI | - | NPPES |
| 2095718 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG60209517 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60787398 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mindful Therapy Group Pc | 4981872561 | 252 |
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. Shawn W Boley allows following entities to bill medicare on his behalf.
| Entity Name | Mindful Therapy Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316238678
PECOS PAC ID: 4981872561
Enrollment ID: O20110726000730 |
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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. Shawn W Boley 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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Shawn W Boley, LICSW
6015 Ne 37th St,
Vancouver, WA 98661-3276
Ph: (206) 941-8538 | Shawn W Boley, LICSW
6015 Ne 37th St,
Vancouver, WA 98661-3276
Ph: (206) 941-8538 |
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