Candace Bolz, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Monument, Colorado. Her current practice location is
18743 Roller Coaster Rd, Monument, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 875-7438.
Candace Bolz 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 1578172482.
Healthcare Provider's Profile
| Full Name | Candace Bolz |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 18743 Roller Coaster Rd, Monument, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578172482
- Provider Enumeration Date: 07/27/2020
- Last Update Date: 12/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103233622
- Enrollment ID: I20210330001921
Medical Identifiers
Medical identifiers for Candace Bolz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578172482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000929 (Colorado) | Secondary |
| 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. Candace Bolz allows following entities to bill medicare on her behalf.
| Entity Name | Candace Bolz Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316754708 PECOS PAC ID: 5496283517 Enrollment ID: O20250116001852 |
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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. Candace Bolz 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 |
Candace Bolz, LCSW, LAC 18285 Roller Coaster Rd, Monument, CO 80132-8352 Ph: (719) 354-5237 | Candace Bolz, LCSW, LAC 18743 Roller Coaster Rd, Monument, CO 80132-8352 Ph: (303) 875-7438 |
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