Jaime L Bollmann Sr, LCSW, CSAC is a medicare enrolled "Social Worker" provider in Woodruff, Wisconsin. Her current practice location is
311 Elm St, Woodruff, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 356-8540.
Jaime L Bollmann Sr is licensed to practice in Wisconsin (license number 7365) 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 1083704118.
Healthcare Provider's Profile
| Full Name | Jaime L Bollmann Sr |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 311 Elm St, Woodruff, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083704118
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 09/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618963992
- Enrollment ID: I20040422000390
Medical Identifiers
Medical identifiers for Jaime L Bollmann Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083704118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 126447-121 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15250 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 7365 (Wisconsin) | 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. Jaime L Bollmann Sr allows following entities to bill medicare on her behalf.
| Entity Name | Forest County Potawatomi Community |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285741306 PECOS PAC ID: 3375454689 Enrollment ID: O20040228000204 |
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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. Jaime L Bollmann Sr 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 |
Jaime L Bollmann Sr, LCSW, CSAC 311 Elm St, P.o. Box 470, Woodruff, WI 54568-9149 Ph: (715) 356-8540 | Jaime L Bollmann Sr, LCSW, CSAC 311 Elm St, Woodruff, WI 54568-9149 Ph: (715) 356-8540 |
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