Mrs Laurel Boland, LICSW in Southbridge, MA - Medicare Social Worker Provider

Mrs Laurel Boland, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Southbridge, Massachusetts. Her current practice location is 139 South St, Southbridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 909-7799.

Mrs Laurel Boland is licensed to practice in * (Not Available) (license number ) 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 1134734965.

Contact Information

	Mrs Laurel Boland, LICSW
	139 South St, Southbridge, MA 01550-4032
	(508) 909-7799
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Laurel Boland
Gender	Female
Speciality	Social Worker - Clinical
Location	139 South St, Southbridge, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134734965
Provider Enumeration Date: 09/09/2020
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5799224416
Enrollment ID: I20240827000285

Medical Identifiers

Medical identifiers for Mrs Laurel Boland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134734965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Mrs Laurel Boland allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Entity Name	Massachusetts Psychiatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265989453 PECOS PAC ID: 4082983911 Enrollment ID: O20170707001594

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. Mrs Laurel Boland 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
Mrs Laurel Boland, LICSW 258 Main St, Sturbridge, MA 01566-1540 Ph: (508) 418-6888	Mrs Laurel Boland, LICSW 139 South St, Southbridge, MA 01550-4032 Ph: (508) 909-7799

Reviews and Comments

Social Worker in Southbridge, MA

Mrs. Jennifer Colello Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 52 Charlton St, Southbridge, MA 01550 Phone: 508-849-5649
Mr. Paul J Carey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 328 Main St, Southbridge, MA 01550 Phone: 508-765-9101 Fax: 508-764-4389
Tatiana Towle, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9167
Mr. Craig J Ungerman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Optical Dr, Southbridge, MA 01550 Phone: 508-519-3590 Fax: 508-849-3882
Sandra Anne Fallon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9761
Mrs. Kathleen C Hardwick, M.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 South Street, Southbridge, MA 01550 Phone: 508-765-9771

Mrs Laurel Boland, LICSW - Medicare Clinical Social Worker in Southbridge, MA