Lanny Clarice Bolling, PSYD in Johnson City, TN - Medicare Psychologist Provider

Lanny Clarice Bolling, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Johnson City, Tennessee. Her current practice location is 101 Med Tech Pkwy Ste 200, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 232-6120.

Lanny Clarice Bolling is licensed to practice in Tennessee (license number P2824) 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 1578696944.

Contact Information

	Lanny Clarice Bolling, PSYD
	101 Med Tech Pkwy Ste 200, Johnson City, TN 37604-4001
	(423) 232-6120
	(423) 232-6125

Map and Direction

Healthcare Provider's Profile

Full Name	Lanny Clarice Bolling
Gender	Female
Speciality	Psychologist - Clinical
Location	101 Med Tech Pkwy Ste 200, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578696944
Provider Enumeration Date: 03/14/2007
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 5496807349
Enrollment ID: I20090723000447

Medical Identifiers

Medical identifiers for Lanny Clarice Bolling such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578696944	NPI	-	NPPES
103I681458	Other	TN	MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	P2824 (Tennessee)	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. Lanny Clarice Bolling allows following entities to bill medicare on her behalf.

Entity Name	Pain Medicine Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477594364 PECOS PAC ID: 6901702216 Enrollment ID: O20040907001347

Entity Name	Specialist In Pain Management Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447203922 PECOS PAC ID: 1355253659 Enrollment ID: O20041022000859

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. Lanny Clarice Bolling 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
Lanny Clarice Bolling, PSYD 108 W Summit Hill Dr, Knoxville, TN 37902-1025 Ph: (865) 525-1099	Lanny Clarice Bolling, PSYD 101 Med Tech Pkwy Ste 200, Johnson City, TN 37604-4001 Ph: (423) 232-6120

Reviews and Comments

Psychologist in Johnson City, TN

Dr. Angela Jane Shelton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 Pinnacle Dr, Suite 106, Johnson City, TN 37615 Phone: 423-525-3771
Shelley Ann Silvers, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Sydney And Lamont, James H Quillen Vamc, Johnson City, TN 37684 Phone: 423-926-1171
Ms. Deborah Lee Morrell, LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-232-2646
Martha M. Kennon, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480
Dr. Steven L Gray, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Dr. Bess Lewis, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1735 W State Franklin Road, Ste 5 #180, Johnson City, TN 37604 Phone: 423-631-5873
Dr. Jon R. Webb, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614 Phone: 423-439-7777 Fax: 423-439-7780

Lanny Clarice Bolling, PSYD - Medicare Psychologist in Johnson City, TN