Mr Corey Charles Bolen, MA CCC-SLP in O Fallon, MO - Medicare Speech-Language Pathologist Provider

Mr Corey Charles Bolen, MA CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in O Fallon, Missouri. His current practice location is 8124 Knights Crossing Ct, O Fallon, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 346-2219.

Mr Corey Charles Bolen is licensed to practice in Missouri (license number 2005002432) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851519581.

Contact Information

	Mr Corey Charles Bolen, MA CCC-SLP
	8124 Knights Crossing Ct, O Fallon, MO 63368-6225
	(636) 346-2219
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Corey Charles Bolen
Gender	Male
Speciality	Speech-language Pathologist
Location	8124 Knights Crossing Ct, O Fallon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851519581
Provider Enumeration Date: 04/20/2007
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8224286331
Enrollment ID: I20120914000418

Medical Identifiers

Medical identifiers for Mr Corey Charles Bolen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851519581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Secondary
235Z00000X	Speech-language Pathologist	2005002432 (Missouri)	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. Mr Corey Charles Bolen allows following entities to bill medicare on his behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407487366 PECOS PAC ID: 2163339722 Enrollment ID: O20200327001604

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. Mr Corey Charles Bolen 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
Mr Corey Charles Bolen, MA CCC-SLP 8124 Knights Crossing Ct, O Fallon, MO 63368-6225 Ph: (636) 346-2219	Mr Corey Charles Bolen, MA CCC-SLP 8124 Knights Crossing Ct, O Fallon, MO 63368-6225 Ph: (636) 346-2219

Reviews and Comments

Speech-Language Pathologist in O Fallon, MO

Kristin K Weber, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7500 Highway N, O Fallon, MO 63368 Phone: 636-625-4537 Fax: 636-625-4447
Nicole Leigh Hartrum, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 Virgil St, Special Services, O Fallon, MO 63366 Phone: 636-240-2072 Fax: 636-240-2072
Allison Becker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9233 Highway Dd, O Fallon, MO 63368 Phone: 636-625-1026
Mrs. Loretta Marie Dunkmann, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 Sunflower Ln, O Fallon, MO 63366 Phone: 636-272-2704
Amy Grosch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 610 Prince Ruppert Dr, O Fallon, MO 63366 Phone: 636-272-2709
Mrs. Allison Mesler, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Meriwether Lewis Dr, O Fallon, MO 63368 Phone: 636-281-3382
Jessica Ann Elwell, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 Virgil St, O Fallon, MO 63366 Phone: 636-240-2072 Fax: 636-980-1946

Mr Corey Charles Bolen, MA CCC-SLP - Medicare Speech-Language Pathologist in O Fallon, MO