Sherry Bouldin, LPC in Jackson, MS - Medicare Counselor Provider

Sherry Bouldin, LPC is a medicare enrolled "Counselor" provider in Jackson, Mississippi. Her current practice location is 4500 I 55 N, Suite 220, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 927-8729.

Sherry Bouldin is licensed to practice in Mississippi (license number 1995) 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 1053784918.

Contact Information

	Sherry Bouldin, LPC
	4500 I 55 N, Suite 220, Jackson, MS 39211-5930
	(601) 927-8729
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sherry Bouldin
Gender	Female
Speciality	Counselor
Location	4500 I 55 N, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053784918
Provider Enumeration Date: 11/01/2015
Last Update Date: 07/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3476986787
Enrollment ID: I20240320004308

Medical Identifiers

Medical identifiers for Sherry Bouldin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053784918	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	1995 (Mississippi)	Secondary
102L00000X	Psychoanalyst	1995 (Mississippi)	Secondary
103K00000X	Behavior Analyst	1995 (Mississippi)	Secondary
101Y00000X	Counselor	1995 (Mississippi)	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. Sherry Bouldin allows following entities to bill medicare on her behalf.

Entity Name	Mindful Solutions,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083176218 PECOS PAC ID: 8022455427 Enrollment ID: O20240320004299

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. Sherry Bouldin 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
Sherry Bouldin, LPC Po Box 12195, Jackson, MS 39236-2195 Ph: (601) 292-6260	Sherry Bouldin, LPC 4500 I 55 N, Suite 220, Jackson, MS 39211-5930 Ph: (601) 927-8729

Reviews and Comments

Counselor in Jackson, MS

Mrs. Denease Inez Bishop, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1855 Lakeland Dr, Suite P101, Jackson, MS 39216 Phone: 601-278-6790
Robert Caleb Cauthen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1513 Lakeland Dr, Jackson, MS 39216 Phone: 769-777-1000
Diane Lois Sanford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 E River Pl Ste 100, Jackson, MS 39202 Phone: 769-251-5550
Jamaal Murriel, MS,PCAT, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr, Jackson, MS 39216 Phone: 601-718-2468
Cheryl Marie Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 Edgewood Terrace Dr, Jackson, MS 39206 Phone: 601-487-6344 Fax: 601-398-0289
Mr. Dennis Morgan Hydrick Jr., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1465 Lakeland Dr, Jackson, MS 39216 Phone: 601-573-8548 Fax: 601-968-0021
Ms. Delesia S Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 E River Pl Ste 100, Jackson, MS 39202 Phone: 769-251-5550

Sherry Bouldin, LPC - Medicare Counselor in Jackson, MS