Boule Sophia Llc - Medicare Mental Health Clinic in Polson, MT

Boule Sophia Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Polson, Montana. The current practice location for Boule Sophia Llc is 41582 Baypoint Rd, Polson, Montana. For appointments, you can reach them via phone at (406) 491-2898. The mailing address for Boule Sophia Llc is Po Box 1642, Polson, Montana and phone number is (406) 491-2898.

Boule Sophia Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1881290302. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (406) 491-2898.

Contact Information

Boule Sophia Llc
41582 Baypoint Rd
Polson
MT 59860-8584
(406) 491-2898
Not Available

Mental Health Clinic Profile

Full NameBoule Sophia Llc
SpecialityClinic/Center
Location41582 Baypoint Rd, Polson, Montana
Authorized Official Name and PositionErika Anne Weber (OWNER/PROVIDER)
Authorized Official Contact4064912898
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Boule Sophia Llc
Po Box 1642
Polson
MT 59860-1642

Ph: (406) 491-2898
Boule Sophia Llc
41582 Baypoint Rd
Polson
MT 59860-8584

Ph: (406) 491-2898

NPI Details:

NPI Number1881290302
Provider Enumeration Date12/09/2020
Last Update Date12/09/2020
Certification Date12/09/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4082029020
Medicare Enrollment IDO20210224002138

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Medical Identifiers

Medical identifiers for Boule Sophia Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881290302NPI-NPPES
1200619724101OtherMTDRIVERS LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (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. Boule Sophia Llc acts as a billing entity for following providers:
Provider NameErika A Weber
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114220787
PECOS PAC ID: 6305035916
Enrollment ID: I20110113000432

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