Brent Bolyard, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Brighton, Missouri. His current practice location is
1620 W State Highway Cc, Brighton, Missouri. You can reach out to his office (for appointments etc.) via phone at
(330) 663-1583.
Brent Bolyard is licensed to practice in Arkansas (license number E-4507) 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 1154341568.
Physician's Profile
Full Name | Brent Bolyard |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 1620 W State Highway Cc, Brighton, Missouri |
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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: 1154341568
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 01/02/2017
Medicare PECOS Information:
- PECOS PAC ID: 9234157017
- Enrollment ID: I20051110000142
Medical Identifiers
Medical identifiers for Brent Bolyard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154341568 | NPI | - | NPPES |
158495001 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | E-4507 (Arkansas) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | E-4507 (Arkansas) | Secondary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | E-4507 (Arkansas) | Secondary |
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. Brent Bolyard allows following entities to bill medicare on his behalf.
Entity Name | Texarkana Behavioral Associates Lc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467483677 PECOS PAC ID: 9436062379 Enrollment ID: O20040223000353 |
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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. Brent Bolyard 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 |
Brent Bolyard, MD 1620 W State Highway Cc, Brighton, MO 65617-9427 Ph: (330) 663-1583 | Brent Bolyard, MD 1620 W State Highway Cc, Brighton, MO 65617-9427 Ph: (330) 663-1583 |
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