Jackie Boling, LCSW in Bossier City, LA - Medicare Social Worker Provider

Jackie Boling, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bossier City, Louisiana. Her current practice location is 401 Jordan Dr, Bossier City, Louisiana. You can reach out to her office (for appointments etc.) via phone at (707) 548-9996.

Jackie Boling is licensed to practice in Louisiana (license number 16719) 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 1386181790.

Contact Information

	Jackie Boling, LCSW
	401 Jordan Dr, Bossier City, LA 71112-4079
	(707) 548-9996
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jackie Boling
Gender	Female
Speciality	Social Worker - Clinical
Location	401 Jordan Dr, Bossier City, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386181790
Provider Enumeration Date: 01/23/2017
Last Update Date: 08/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0345664736
Enrollment ID: I20200717001591

Medical Identifiers

Medical identifiers for Jackie Boling such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386181790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW.09926683 (Colorado)	Secondary
1041C0700X	Social Worker - Clinical	104821 (Texas)	Secondary
1041C0700X	Social Worker - Clinical	16719 (Louisiana)	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. Jackie Boling allows following entities to bill medicare on her behalf.

Entity Name	Heart Centered Counseling, Pc Dba Lifestance Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588038681 PECOS PAC ID: 8628373651 Enrollment ID: O20160229001522

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. Jackie Boling 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
Jackie Boling, LCSW 401 Jordan Dr, Bossier City, LA 71112-4079 Ph: () -	Jackie Boling, LCSW 401 Jordan Dr, Bossier City, LA 71112-4079 Ph: (707) 548-9996

Reviews and Comments

Social Worker in Bossier City, LA

Mrs. Nada El-baghdadi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5401 Shed Road, Northwest Supports & Services Center, Bossier City, LA 71111 Phone: 318-741-5242
Ms. Debra Ann Brogden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3018 Old Minden Rd, Suite 1111, Bossier City, LA 71112 Phone: 318-741-7482 Fax: 318-741-7481
Ms. Destiney Ceionna Kinsey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2604 Benton Rd Apt 309, Bossier City, LA 71111 Phone: 318-510-9754
Mrs. Rozina Freeney-wright, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112 Phone: 318-746-1935
Crystal Rhine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3018 Old Minden Rd Ste 1200, Bossier City, LA 71112 Phone: 318-321-3898
Amanda R Carroll, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1515 Doctors Dr Ste 4, Bossier City, LA 71111 Phone: 318-703-6200
Mrs. Leigh Perry Peregoy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2285 Benton Rd, A-101, Bossier City, LA 71111 Phone: 318-746-5775 Fax: 318-746-5787

Jackie Boling, LCSW - Medicare Clinical Social Worker in Bossier City, LA