Johnna Bolender, LPC in Sanborn, NY - Medicare Counselor Provider

Johnna Bolender, LPC is a medicare enrolled "Counselor" provider in Sanborn, New York. Her current practice location is 6331 Inducon Dr E, Sanborn, New York. You can reach out to her office (for appointments etc.) via phone at (716) 831-1800.

Johnna Bolender 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 1558983494.

Contact Information

	Johnna Bolender, LPC
	6331 Inducon Dr E, Sanborn, NY 14132-9016
	(716) 831-1800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Johnna Bolender
Gender	Female
Speciality	Counselor
Location	6331 Inducon Dr E, Sanborn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558983494
Provider Enumeration Date: 05/14/2020
Last Update Date: 08/12/2025

Medicare PECOS Information:

PECOS PAC ID: 0648618611
Enrollment ID: I20240410000517

Medical Identifiers

Medical identifiers for Johnna Bolender such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558983494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	9486 (South Carolina)	Secondary
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. Johnna Bolender allows following entities to bill medicare on her behalf.

Entity Name	Charleston Counseling Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323

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. Johnna Bolender 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
Johnna Bolender, LPC 55 Dodge Rd, Getzville, NY 14068-1205 Ph: (716) 831-2700	Johnna Bolender, LPC 6331 Inducon Dr E, Sanborn, NY 14132-9016 Ph: (716) 831-1800

Reviews and Comments

Counselor in Sanborn, NY

Ralph Wilson, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010
Shannon O'keeffe, BS, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010
Ms. Malerie Marie Staskiewicz, Counselor Medicare: Medicare Enrolled Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550
Joshua Bradley, Counselor Medicare: Medicare Enrolled Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550
Kennedy Lewandowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6302 Inducon Dr E, Sanborn, NY 14132 Phone: 716-638-9222
Patricia L Pasculle, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010
Brittany Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550

Johnna Bolender, LPC - Medicare Counselor in Sanborn, NY