Alyssia Niobe Boldin, in Bartow, FL - Medicare Counselor Provider

Alyssia Niobe Boldin, is a medicare enrolled "Counselor" provider in Bartow, Florida. Her current practice location is 1255 Golfview Ave, Bartow, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 519-0575.

Alyssia Niobe Boldin 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 1366048332.

Contact Information

	Alyssia Niobe Boldin,
	1255 Golfview Ave, Bartow, FL 33830-6736
	(863) 519-0575
	(863) 582-9251

Map and Direction

Healthcare Provider's Profile

Full Name	Alyssia Niobe Boldin
Gender	Female
Speciality	Counselor
Location	1255 Golfview Ave, Bartow, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366048332
Provider Enumeration Date: 12/07/2020
Last Update Date: 12/07/2020

Medicare PECOS Information:

PECOS PAC ID: 7416302328
Enrollment ID: I20231012002947

Medical Identifiers

Medical identifiers for Alyssia Niobe Boldin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366048332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (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. Alyssia Niobe Boldin allows following entities to bill medicare on her behalf.

Entity Name	Dna Comprehensive Therapy Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276

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. Alyssia Niobe Boldin 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
Alyssia Niobe Boldin, Po Box 1559, Bartow, FL 33831-1559 Ph: (863) 519-0575	Alyssia Niobe Boldin, 1255 Golfview Ave, Bartow, FL 33830-6736 Ph: (863) 519-0575

Reviews and Comments

Counselor in Bartow, FL

Youlaunda Lashawn Wright-speed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Forrest Dr, Bartow, FL 33830 Phone: 863-440-6230
Jessica Little, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251
Travis Risner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251
Chad Feacher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575
Joni Irene Nelson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 495 S Central Ave, Bartow, FL 33830 Phone: 863-585-3247
Michael Scott Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1239 E Main St, Bartow, FL 33830 Phone: 863-519-0575
Jamie Grandy, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1735 W Oakwood Loop, Bartow, FL 33830 Phone: 863-651-2154

Alyssia Niobe Boldin, - Medicare Counselor in Bartow, FL