Loretta L. Bolyard, Phd - Medicare Mental Health Clinic in Butte, MT

Loretta L. Bolyard, Phd is a medicare enrolled mental health clinic (Psychologist) in Butte, Montana. The current practice location for Loretta L. Bolyard, Phd is 125 W Granite St, Suite 207, Butte, Montana. For appointments, you can reach them via phone at (406) 210-9801. The mailing address for Loretta L. Bolyard, Phd is 125 W Granite St, Suite 207, Butte, Montana and phone number is (406) 210-9801.

Loretta L. Bolyard, Phd is licensed to practice in Montana (license number 1479). The clinic also participates in the medicare program and its NPI number is 1508222837. 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) 210-9801.

Contact Information

Loretta L. Bolyard, Phd
125 W Granite St
Suite 207
Butte
MT 59701-9215
(406) 210-9801
(406) 723-5406

Mental Health Clinic Profile

Full NameLoretta L. Bolyard, Phd
SpecialityPsychologist
Location125 W Granite St, Butte, Montana
Authorized Official Name and PositionLoretta Lynn Bolyard (CLINICAL PSYCHOLOGIST)
Authorized Official Contact4062109801
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Loretta L. Bolyard, Phd
125 W Granite St
Suite 207
Butte
MT 59701-9215

Ph: (406) 210-9801
Loretta L. Bolyard, Phd
125 W Granite St
Suite 207
Butte
MT 59701-9215

Ph: (406) 210-9801

NPI Details:

NPI Number1508222837
Provider Enumeration Date12/31/2015
Last Update Date12/31/2015

Medicare PECOS Information:

Medicare PECOS PAC ID5890097620
Medicare Enrollment IDO20160111000890

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Medical Identifiers

Medical identifiers for Loretta L. Bolyard, Phd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508222837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 1479 (Montana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Loretta L. Bolyard, Phd acts as a billing entity for following providers:
Provider NameLoretta L Bolyard
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1316284730
PECOS PAC ID: 2264686633
Enrollment ID: I20150929003218

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