Daniel John Bolster, MD is a medicare enrolled "Emergency Medicine" physician in Woodland, California. His current practice location is
1325 Cottonwood St, Woodland, California. You can reach out to his office (for appointments etc.) via phone at
(530) 662-3961.
Daniel John Bolster is licensed to practice in California (license number A50763) 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 1861555732.
Physician's Profile
| Full Name | Daniel John Bolster |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1325 Cottonwood St, Woodland, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861555732
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 06/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 7416985262
- Enrollment ID: I20050802000693
Medical Identifiers
Medical identifiers for Daniel John Bolster such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861555732 | NPI | - | NPPES |
| 00A507630 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | A50763 (California) | 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. Daniel John Bolster allows following entities to bill medicare on his behalf.
| Entity Name | Woodland Emergency Physicians Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881868164
PECOS PAC ID: 8921176785
Enrollment ID: O20081007000014 |
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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. Daniel John Bolster 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 |
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Daniel John Bolster, MD
Po Box 660160,
Arcadia, CA 91066-0160
Ph: (626) 447-0296 | Daniel John Bolster, MD
1325 Cottonwood St,
Woodland, CA 95695-5131
Ph: (530) 662-3961 |
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