Mrs Amber Shanae Boelen, in Placerville, CA - Medicare Marriage & Family Therapist Provider

Mrs Amber Shanae Boelen, is a medicare enrolled "Marriage & Family Therapist" provider in Placerville, California. Her current practice location is 670 Placerville Dr, Suite 2, Placerville, California. You can reach out to her office (for appointments etc.) via phone at (530) 644-8226.

Mrs Amber Shanae Boelen is licensed to practice in California (license number LMFT 87930) 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 1194031005.

Contact Information

	Mrs Amber Shanae Boelen,
	670 Placerville Dr, Suite 2, Placerville, CA 95667-4200
	(530) 644-8226
	(530) 621-9804

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Amber Shanae Boelen
Gender	Female
Speciality	Marriage & Family Therapist
Location	670 Placerville Dr, Placerville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194031005
Provider Enumeration Date: 08/30/2010
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 7416309711
Enrollment ID: I20240123002063

Medical Identifiers

Medical identifiers for Mrs Amber Shanae Boelen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194031005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT 87930 (California)	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 Amber Shanae Boelen allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Amber Shanae Boelen 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 Amber Shanae Boelen, 670 Placerville Dr, Suite 2, Placerville, CA 95667-4200 Ph: (530) 644-8226	Mrs Amber Shanae Boelen, 670 Placerville Dr, Suite 2, Placerville, CA 95667-4200 Ph: (530) 644-8226

Reviews and Comments

Marriage & Family Therapist in Placerville, CA

Stephen J Branco, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2808 Mallard Ln, Suite A, Placerville, CA 95667 Phone: 530-621-5169 Fax: 530-295-2713
Melissa Gallagher, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 680 Placerville Dr., Suite A2, Placerville, CA 95667 Phone: 916-266-1418 Fax: 530-903-3434
Ms. Catherine Seleine Ciampa, LMFC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 681 Main St, Suite 216, Placerville, CA 95667 Phone: 530-417-0493 Fax: 530-621-2637
Ms. Jamie Lynn Samboceti, M.A., MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 344 Placerville Dr, Suite 17, Placerville, CA 95667 Phone: 530-621-6290
Catherine Maria Underwood, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 550 Main St, Suite B1b, Placerville, CA 95667 Phone: 530-906-5836
Dee-anna R Bradley, PSY.D. Couples Therapy Medicare: Medicare Enrolled Practice Location: 319 Main St, Suite 5, Placerville, CA 95667 Phone: 530-391-9976
Ms. Margaret M Ray, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2808 Mallard Lane, Ste C, Placerville, CA 95667 Phone: 530-621-7585 Fax: 530-295-2521

Mrs Amber Shanae Boelen, - Medicare Couples Therapy in Placerville, CA