Mrs Mary Bolander, MS, CCC-SLP in Glendale, WI - Medicare Speech-Language Pathologist Provider

Mrs Mary Bolander, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Glendale, Wisconsin. Her current practice location is 6700 N Port Washington Rd, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 351-8850.

Mrs Mary Bolander is licensed to practice in Wisconsin (license number 3470-154) 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 1710325733.

Contact Information

	Mrs Mary Bolander, MS, CCC-SLP
	6700 N Port Washington Rd, Glendale, WI 53217-3919
	(414) 351-8850
	(414) 351-8846

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Bolander
Gender	Female
Speciality	Speech-language Pathologist
Location	6700 N Port Washington Rd, Glendale, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710325733
Provider Enumeration Date: 06/12/2013
Last Update Date: 06/12/2013

Medicare PECOS Information:

PECOS PAC ID: 6709323314
Enrollment ID: I20240731004245

Medical Identifiers

Medical identifiers for Mrs Mary Bolander such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710325733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	3470-154 (Wisconsin)	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 Mary Bolander allows following entities to bill medicare on her behalf.

Provider Name	Presbyterian Homes Of Wisconsin Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1336845551 PECOS PAC ID: 7618341439 Enrollment ID: O20230317002328

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 Mary Bolander 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 Mary Bolander, MS, CCC-SLP 6700 N Port Washington Rd, Glendale, WI 53217-3919 Ph: (414) 351-8850	Mrs Mary Bolander, MS, CCC-SLP 6700 N Port Washington Rd, Glendale, WI 53217-3919 Ph: (414) 351-8850

Reviews and Comments

Speech-Language Pathologist in Glendale, WI

Rebecca O'connor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6529 N Braeburn Ln, Glendale, WI 53209 Phone: 612-310-6726
Kayla Diesner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1616 W Bender Rd, Glendale, WI 53209 Phone: 414-228-8700
Amy Hawes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1300 W Silver Spring Dr, Glendale, WI 53209 Phone: 414-228-8120
Ms. Elizabeth Laura Cloyd, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6700 N. Port Washington Rd., St. Francis Children's Center, Glendale, WI 53217 Phone: 414-351-8850 Fax: 414-351-8846
Pamela Zierke, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6700 N Port Washington Rd, Glendale, WI 53217 Phone: 414-351-8850
Michelle Herum, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 377 W River Woods Pkwy, Glendale, WI 53212 Phone: 262-923-7101
Mrs. Julia Mattek, MSCCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6700 N. Port Washington Rd., C/o St. Francis Children's Center, Glendale, WI 53217 Phone: 414-351-8850 Fax: 414-351-8846

Mrs Mary Bolander, MS, CCC-SLP - Medicare Speech-Language Pathologist in Glendale, WI