Bonnie Kristine Boles, MD in Villa Rica, GA - Medicare Internal Medicine

Bonnie Kristine Boles, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Villa Rica, Georgia. Her current practice location is 690 Dallas Hwy, Suite 207-a, Villa Rica, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 456-3380.

Bonnie Kristine Boles is licensed to practice in Georgia (license number 036927) 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 1538161492.

Contact Information

	Bonnie Kristine Boles, MD
	690 Dallas Hwy, Suite 207-a, Villa Rica, GA 30180-1264
	(770) 456-3380
	(770) 456-3785

Map and Direction

Physician's Profile

Full Name	Bonnie Kristine Boles
Gender	Female
Speciality	Internal Medicine - Pulmonary Disease
Location	690 Dallas Hwy, Villa Rica, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538161492
Provider Enumeration Date: 08/11/2005
Last Update Date: 10/11/2012

Medicare PECOS Information:

PECOS PAC ID: 9234184300
Enrollment ID: I20050322000476

Medical Identifiers

Medical identifiers for Bonnie Kristine Boles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538161492	NPI	-	NPPES
000682437H	Medicaid	GA
000682437F	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	036927 (Georgia)	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. Bonnie Kristine Boles allows following entities to bill medicare on her behalf.

Entity Name	Apogee Medical Group Georgia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214

Entity Name	Tanner Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657

Entity Name	Tanner Neuroscience Specialist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588192660 PECOS PAC ID: 3375801434 Enrollment ID: O20171218003522

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. Bonnie Kristine Boles 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
Bonnie Kristine Boles, MD 119 Ambulance Drive, Suite 202, Carrollton, GA 30117-1476 Ph: (770) 456-3380	Bonnie Kristine Boles, MD 690 Dallas Hwy, Suite 207-a, Villa Rica, GA 30180-1264 Ph: (770) 456-3380

Reviews and Comments

Internal Medicine Doctors in Villa Rica, GA

Martha Haack, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy, Suite 104, Villa Rica, GA 30180 Phone: 404-778-8440
Dr. Sharon Tuckett, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Quartz Dr Ste 201, Villa Rica, GA 30180 Phone: 770-812-3839 Fax: 770-456-3846
Dr. Amit Kumar, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 715 Wildwood Gln, Villa Rica, GA 30180 Phone: 610-739-4386
Mujeeb A Jan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 705 Dallas Hwy, Ste 104, Villa Rica, GA 30180 Phone: 404-778-5543
Indupriya Palasani, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 705 Dallas Hwy, Suite 301, Villa Rica, GA 30180 Phone: 770-459-0408
Dr. Alicia M Jennings, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Quartz Drive, Suite 201, Villa Rica, GA 30180 Phone: 770-456-3839 Fax: 770-456-3846
Muhammad Uneib, M.D. Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 601 Dallas Hwy, Villa Rica, GA 30180 Phone: 707-812-3000

Bonnie Kristine Boles, MD - Medicare Internal Medicine in Villa Rica, GA