Kevin R Bolt, LPC in Texarkana, AR - Medicare Counselor Provider

Kevin R Bolt, LPC is a medicare enrolled "Counselor" provider in Texarkana, Arkansas. His current practice location is 300 E 6th St, Texarkana, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 772-0156.

Kevin R Bolt is licensed to practice in Texas (license number 80934) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326759648.

Contact Information

	Kevin R Bolt, LPC
	300 E 6th St, Texarkana, AR 71854-5207
	(870) 772-0156
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kevin R Bolt
Gender	Male
Speciality	Counselor
Location	300 E 6th St, Texarkana, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326759648
Provider Enumeration Date: 12/07/2022
Last Update Date: 12/07/2022

Medicare PECOS Information:

PECOS PAC ID: 7416308820
Enrollment ID: I20240110002941

Medical Identifiers

Medical identifiers for Kevin R Bolt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326759648	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	80934 (Texas)	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. Kevin R Bolt allows following entities to bill medicare on his behalf.

Entity Name	Rayl Enterprises
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891044228 PECOS PAC ID: 2466776190 Enrollment ID: O20150128001084

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. Kevin R Bolt 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
Kevin R Bolt, LPC 4560 Fm 995, Atlanta, TX 75551-6412 Ph: (903) 733-2743	Kevin R Bolt, LPC 300 E 6th St, Texarkana, AR 71854-5207 Ph: (870) 772-0156

Reviews and Comments

Counselor in Texarkana, AR

Terry Jerome Williams, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2904 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-773-4655 Fax: 870-772-4650
Carlotta A Powell, ADC,CS,PRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315
Angela Mckinney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028
Anna M Mcbee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315
George Ramser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028 Fax: 870-772-5056
Shalundrea Lavaughn Cleveland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705
Rustin Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705

Kevin R Bolt, LPC - Medicare Counselor in Texarkana, AR