Mr Christopher George Boller, LCSW in South Ozone Park, NY

Mr Christopher George Boller, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Ozone Park, New York. His current practice location is 10819 Rockaway Blvd, South Ozone Park, New York. You can reach out to his office (for appointments etc.) via phone at (718) 845-2620.

Mr Christopher George Boller is licensed to practice in New York (license number 072771-1) 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 1609921121.

Contact Information

	Mr Christopher George Boller, LCSW
	10819 Rockaway Blvd, South Ozone Park, NY 11420-1034
	(718) 845-2620
	(718) 845-9380

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Christopher George Boller
Gender	Male
Speciality	Social Worker - Clinical
Location	10819 Rockaway Blvd, South Ozone Park, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609921121
Provider Enumeration Date: 01/24/2007
Last Update Date: 08/24/2009

Medicare PECOS Information:

PECOS PAC ID: 5698762508
Enrollment ID: I20040430000329

Medical Identifiers

Medical identifiers for Mr Christopher George Boller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609921121	NPI	-	NPPES
00072771	Medicaid	NY
072771-1	Other	NY	LCSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	072771-1 (New York)	Primary
104100000X	Social Worker	072771-1 (New York)	Secondary

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 Christopher George Boller allows following entities to bill medicare on his behalf.

Entity Name	St John's Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023042173 PECOS PAC ID: 1850314865 Enrollment ID: O20060105000203

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 Christopher George Boller 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 Christopher George Boller, LCSW 15122 85th Dr, Jamaica, NY 11432-2510 Ph: (171) 873-9392	Mr Christopher George Boller, LCSW 10819 Rockaway Blvd, South Ozone Park, NY 11420-1034 Ph: (718) 845-2620

Reviews and Comments

Social Worker in South Ozone Park, NY

Joyce Lee Royes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11136 134th St, South Ozone Park, NY 11420 Phone: 718-529-1782
Lea M Boriskin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10819 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 718-845-2620 Fax: 718-845-9380
Lauren Kruger, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10819 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 718-884-5262
Ms. Khatima Shah, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13359 116th St, South Ozone Park, NY 11420 Phone: 917-714-7248 Fax: 718-848-5952
Mary Kesewaa Benn, LMSW, CASAC-T Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10819 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 718-845-2620
Margaret Ninos, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10819 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 718-845-2620
Nalini Shalini Persaud, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12417 109th Ave, South Ozone Park, NY 11420 Phone: 917-415-5436

Mr Christopher George Boller, LCSW - Medicare Clinical Social Worker in South Ozone Park, NY