Mrs Melinda Gayle Boonstra, in Marysville, WA - Medicare Social Worker Provider

Mrs Melinda Gayle Boonstra, is a medicare enrolled "Social Worker - Clinical" provider in Marysville, Washington. Her current practice location is 4308 76th St Ne, Marysville, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 349-7352.

Mrs Melinda Gayle Boonstra is licensed to practice in Washington (license number LW61279465) 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 1740530724.

Contact Information

	Mrs Melinda Gayle Boonstra,
	4308 76th St Ne, Marysville, WA 98270-3720
	(425) 349-7352
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Melinda Gayle Boonstra
Gender	Female
Speciality	Social Worker - Clinical
Location	4308 76th St Ne, Marysville, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740530724
Provider Enumeration Date: 09/17/2012
Last Update Date: 08/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5395129258
Enrollment ID: I20220826002155

Medical Identifiers

Medical identifiers for Mrs Melinda Gayle Boonstra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740530724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61279465 (Washington)	Primary
104100000X	Social Worker	(* (Not Available))	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. Mrs Melinda Gayle Boonstra allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth Medical Group - Sedro Woolley
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407283179 PECOS PAC ID: 1456584036 Enrollment ID: O20140506001293

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 Melinda Gayle Boonstra 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 Melinda Gayle Boonstra, Po Box 3810, Everett, WA 98213 Ph: (425) 349-8359	Mrs Melinda Gayle Boonstra, 4308 76th St Ne, Marysville, WA 98270-3720 Ph: (425) 349-7352

Reviews and Comments

Social Worker in Marysville, WA

Kristina D Coyle, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5019 Grove St, Suite 102, Marysville, WA 98270 Phone: 425-344-9722
Justine V Sanders, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5019 Grove St Ste 102, Marysville, WA 98270 Phone: 425-299-3570
Jordan Claire Long, MSW, LMHCA, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 Grove St, Marysville, WA 98270 Phone: 425-405-2216
Diane J Mcrae, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1922
Madison Catherine Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8444 63rd St Ne, Marysville, WA 98270 Phone: 812-622-0494
Karen E Duval, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7806 51st Ave Ne Unit B, Marysville, WA 98270 Phone: 707-494-0668

Mrs Melinda Gayle Boonstra, - Medicare Clinical Social Worker in Marysville, WA