Sunny Rae Bolduc, OT/L, CLT in Belfast, ME - Medicare Occupational Therapist Provider

Sunny Rae Bolduc, OT/L, CLT is a medicare enrolled "Occupational Therapist" provider in Belfast, Maine. Her current practice location is 118 Northport Ave, Belfast, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 505-4727.

Sunny Rae Bolduc is licensed to practice in Maine (license number OT1630) 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 1457910556.

Contact Information

	Sunny Rae Bolduc, OT/L, CLT
	118 Northport Ave, Belfast, ME 04915-6009
	(207) 505-4727
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sunny Rae Bolduc
Gender	Female
Speciality	Occupational Therapist
Location	118 Northport Ave, Belfast, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457910556
Provider Enumeration Date: 06/12/2019
Last Update Date: 06/12/2019

Medicare PECOS Information:

PECOS PAC ID: 6406822782
Enrollment ID: I20240710002832

Medical Identifiers

Medical identifiers for Sunny Rae Bolduc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457910556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT1630 (Maine)	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. Sunny Rae Bolduc allows following entities to bill medicare on her behalf.

Provider Name	Magnolia Outpatient Physical Therapy Services, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851083919 PECOS PAC ID: 3678929288 Enrollment ID: O20231101003551

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. Sunny Rae Bolduc 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
Sunny Rae Bolduc, OT/L, CLT 118 Northport Ave, Belfast, ME 04915-6009 Ph: () -	Sunny Rae Bolduc, OT/L, CLT 118 Northport Ave, Belfast, ME 04915-6009 Ph: (207) 505-4727

Reviews and Comments

Occupational Therapist in Belfast, ME

Ms. Diane Palmer Bergey, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 171 High St, Belfast, ME 04915 Phone: 207-592-0191
Waldo County Child Development Service Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 139 Northport Avenue, Belfast, ME 04915 Phone: 207-338-1177 Fax: 207-338-9978
Rachel Nolin Adler, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-4186
Ashlee Hamann, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-7273
Vicky Terpoorten, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6a Lions Way, Belfast, ME 04915 Phone: 207-338-1960
Lauren Curry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Northport Ave, Belfast, ME 04915 Phone: 207-505-4753

Sunny Rae Bolduc, OT/L, CLT - Medicare Occupational Therapist in Belfast, ME