Adrienne Bolten, is a medicare enrolled "Dietitian, Registered" provider in Lagrangeville, New York. Her current practice location is
1351 Route 55, Lagrangeville, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 475-9660.
Adrienne Bolten is licensed to practice in New York (license number 8750) 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 1992296669.
Healthcare Provider's Profile
| Full Name | Adrienne Bolten |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1351 Route 55, Lagrangeville, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1992296669
- Provider Enumeration Date: 05/29/2018
- Last Update Date: 05/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 2466707518
- Enrollment ID: I20240221000740
Medical Identifiers
Medical identifiers for Adrienne Bolten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992296669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 8750 (New York) | 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. Adrienne Bolten allows following entities to bill medicare on her behalf.
| Provider Name | Nourish, Inc. |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1558097824
PECOS PAC ID: 1557724937
Enrollment ID: O20230901000471 |
|---|
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. Adrienne Bolten 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 |
|---|
Adrienne Bolten,
38 Colonial Dr,
Tillson, NY 12486-1013
Ph: () - | Adrienne Bolten,
1351 Route 55,
Lagrangeville, NY 12540-5108
Ph: (845) 475-9660 |
Reviews and Comments