Jennifer L Bouldry, LCSW - Medicare Clinical Social Worker in Avon, CO

Jennifer L Bouldry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Avon, Colorado. Her current practice location is 50 Buck Creek Road, Suite 200, Avon, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 926-6340.

Jennifer L Bouldry is licensed to practice in Colorado (license number 09926807) 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 1164824207.

Contact Information

Jennifer L Bouldry, LCSW
50 Buck Creek Road, Suite 200,
Avon, CO 81620-4330
(970) 926-6340
(970) 926-6348

Map and Direction




Healthcare Provider's Profile

Full NameJennifer L Bouldry
GenderFemale
SpecialitySocial Worker - Clinical
Location50 Buck Creek Road, Avon, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164824207
  • Provider Enumeration Date: 09/19/2014
  • Last Update Date: 01/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789964586
  • Enrollment ID: I20161214000581

Medical Identifiers

Medical identifiers for Jennifer L Bouldry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164824207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical MC15031 (Maine)Secondary
1041C0700XSocial Worker - Clinical 09926807 (Colorado)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. Jennifer L Bouldry allows following entities to bill medicare on her behalf.
Entity NamePortland Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609120856
PECOS PAC ID: 5395998017
Enrollment ID: O20130206000120

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. Jennifer L Bouldry 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 AddressPractice Location Address
Jennifer L Bouldry, LCSW
50 Buck Creek Rd, Suite 200,
Avon, CO 81620

Ph: (970) 926-6340
Jennifer L Bouldry, LCSW
50 Buck Creek Road, Suite 200,
Avon, CO 81620-4330

Ph: (970) 926-6340

Reviews and Comments


Social Worker in Avon, CO

Marissa Josub, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 230 Chapel Sq Unit D-102, Avon, CO 81620
Phone: 970-945-2840    Fax: 970-945-2893
Amanda Sharree Parsons, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 50 Buck Creek Rd Ste 200, Avon, CO 81620
Phone: 970-926-6340    Fax: 970-926-6348
Ms. Jill Sarah Zimmerman, M.S.W., LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 48 E. Beaver Creek Blvd., Ste. 209, Avon, CO 81620
Phone: 970-949-0404    Fax: 970-479-0731

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.