Denise M Bolan, RPA C is a
Physician Assistant - Medical physician based in Newcomb, New York. Denise M Bolan is licensed to practice in New York (license number 002715) and her current practice location is 4 Santanoni Dr, Newcomb, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 582-2991.
NPI number for Denise M Bolan is 1609946839 and her current mailing address is 4 Santanoni Dr, Newcomb, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609946839.
Physician's Profile
| Full Name | Denise M Bolan |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 4 Santanoni Dr, Newcomb, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609946839
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 10/04/2016
Medical Identifiers
Medical identifiers for Denise M Bolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609946839 | NPI | - | NPPES |
| 01110874 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0027151 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 002715 (New York) | Primary |
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. Denise M Bolan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Denise M Bolan, RPA C
4 Santanoni Dr,
Newcomb, NY 12852-1913
Ph: (518) 582-2991 | Denise M Bolan, RPA C
4 Santanoni Dr,
Newcomb, NY 12852
Ph: (518) 582-2991 |
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