Bhupinder S Bolla, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Watertown, New York. He graduated from medical school in 1994 and has 31 years of diverse experience with area of expertise as Interventional Pain Management. His current practice location is
26561 State Route 3 Ste A, Watertown, New York. You can reach out to his office (for appointments etc.) via phone at
(157) 827-2463.
Bhupinder S Bolla is licensed to practice in New York (license number 252773-1) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386680874.
Physician's Profile
Full Name | Bhupinder S Bolla |
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Gender | Male |
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Speciality | Interventional Pain Management |
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Experience | 31 Years |
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Location | 26561 State Route 3 Ste A, Watertown, New York |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Bhupinder S Bolla graduated from medical school in 1994
NPI Data:
- NPI Number: 1386680874
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 01/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 1759367246
- Enrollment ID: I20040830000246
Medical Identifiers
Medical identifiers for Bhupinder S Bolla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386680874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 252773-1 (New York) | Primary |
Medical Facilities Affiliation
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. Bhupinder S Bolla allows following entities to bill medicare on his behalf.
Entity Name | Bhupinder Singh Bolla Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336490663 PECOS PAC ID: 1153574520 Enrollment ID: O20130115000224 |
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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. Bhupinder S Bolla 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 |
Bhupinder S Bolla, MD Po Box 6684, Watertown, NY 13601-6684 Ph: (315) 782-7246 | Bhupinder S Bolla, MD 26561 State Route 3 Ste A, Watertown, NY 13601-1749 Ph: (157) 827-2463 |
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