Dr Matthew Bolton, MD is a medicare enrolled "General Practice" physician in Crossville, Tennessee. His current practice location is
1503 S Main St, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 484-6196.
Dr Matthew Bolton is licensed to practice in Tennessee (license number MD21614) 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 1720082548.
Physician's Profile
| Full Name | Dr Matthew Bolton |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1503 S Main St, Crossville, Tennessee |
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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: 1720082548
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 1254332646
- Enrollment ID: I20070129000114
Medical Identifiers
Medical identifiers for Dr Matthew Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720082548 | NPI | - | NPPES |
| 4129250 | Other | TN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 21614 (Tennessee) | Secondary |
| 208D00000X | General Practice | MD21614 (Tennessee) | 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. Dr Matthew Bolton allows following entities to bill medicare on his behalf.
| Entity Name | State Of Tennessee |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487791315
PECOS PAC ID: 5698687077
Enrollment ID: O20031104000309 |
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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. Dr Matthew Bolton 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 |
|---|
Dr Matthew Bolton, MD
1100 England Dr,
Cookeville, TN 38501-0924
Ph: (931) 528-7531 | Dr Matthew Bolton, MD
1503 S Main St,
Crossville, TN 38555-5967
Ph: (931) 484-6196 |
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