Mr Michael Ted Boman, LCSW in Magna, UT - Medicare Social Worker Provider

Mr Michael Ted Boman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Magna, Utah. His current practice location is 3564 S 7200 W, Magna, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 250-2909.

Mr Michael Ted Boman is licensed to practice in Utah (license number 373112-3501) 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 1508828930.

Contact Information

	Mr Michael Ted Boman, LCSW
	3564 S 7200 W, Magna, UT 84044-3507
	(801) 250-2909
	(801) 252-0444

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Michael Ted Boman
Gender	Male
Speciality	Social Worker - Clinical
Location	3564 S 7200 W, Magna, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508828930
Provider Enumeration Date: 04/03/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7719149665
Enrollment ID: I20120510000311

Medical Identifiers

Medical identifiers for Mr Michael Ted Boman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508828930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	373112-3501 (Utah)	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 Michael Ted Boman allows following entities to bill medicare on his behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210915002356

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 Michael Ted Boman 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 Michael Ted Boman, LCSW 3564 S 7200 W, Magna, UT 84044-3507 Ph: (801) 250-2909	Mr Michael Ted Boman, LCSW 3564 S 7200 W, Magna, UT 84044-3507 Ph: (801) 250-2909

Reviews and Comments

Social Worker in Magna, UT

Amy Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8265 W 2700 S, Magna, UT 84044 Phone: 801-250-9762
Rebecca Marie Hennessy, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3564 S 7200 W, Suite C, Magna, UT 84044 Phone: 801-250-2909
Mr. Darren Lamb, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2711 S 8500 W, Magna, UT 84044 Phone: 801-990-4300 Fax: 801-967-2127
Debbie Tolton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3564 S 7200 W, Magna, UT 84044 Phone: 801-250-2909
Kristin Dawn Murray, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3564 S 7200 W, Suite C, Magna, UT 84044 Phone: 801-250-2909 Fax: 801-981-8121
Kristin Adams, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8265 W 2700 S, Magna, UT 84044 Phone: 435-260-2867
Andrea Egbert, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3564 S 7200 W Ste C, Magna, UT 84044 Phone: 801-250-2909 Fax: 801-252-0444

Mr Michael Ted Boman, LCSW - Medicare Clinical Social Worker in Magna, UT