Kari Marie Bolen, DDS is a medicare enrolled "Dentist - General Practice" provider in Custer, South Dakota. Her current practice location is
141 N 5th St, Custer, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 261-6488.
Kari Marie Bolen is licensed to practice in South Dakota (license number D0926) 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 1609002401.
Healthcare Provider's Profile
Full Name | Kari Marie Bolen |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 141 N 5th St, Custer, South Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609002401
- Provider Enumeration Date: 06/08/2009
- Last Update Date: 05/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739491069
- Enrollment ID: I20150630000324
Medical Identifiers
Medical identifiers for Kari Marie Bolen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609002401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D010608 (Arizona) | Secondary |
1223G0001X | Dentist - General Practice | 08623 (Iowa) | Secondary |
1223G0001X | Dentist - General Practice | D0926 (South Dakota) | Primary |
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. Kari Marie Bolen 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 |
Kari Marie Bolen, DDS 141 N 5th St, Custer, SD 57730-1528 Ph: (605) 261-6488 | Kari Marie Bolen, DDS 141 N 5th St, Custer, SD 57730-1528 Ph: (605) 261-6488 |
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