Dr Ryschell Renee Bolton, DO - Medicare Emergency Medicine in Peoria, IL

  1. Home
  2. Emergency Medicine
  3. IL
  4. Peoria
Dr Ryschell Renee Bolton, DO is a medicare enrolled "Emergency Medicine" physician in Peoria, Illinois. She went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2007 and has 17 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Texas Medicine Resources, Llp and her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (817) 689-5523.

Dr Ryschell Renee Bolton is licensed to practice in Illinois (license number 125.052729) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689873234.

Contact Information

Dr Ryschell Renee Bolton, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(817) 689-5523
Not Available

Map and Direction




Physician's Profile

Full NameDr Ryschell Renee Bolton
GenderFemale
SpecialityEmergency Medicine
Experience17 Years
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ryschell Renee Bolton attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2007
  NPI Data:
  • NPI Number: 1689873234
  • Provider Enumeration Date: 07/13/2007
  • Last Update Date: 04/24/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4183758790
  • Enrollment ID: I20100830000301

Medical Identifiers

Medical identifiers for Dr Ryschell Renee Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689873234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125.052729 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Texas Health Harris Methodist Hospital Southwest FFort worth, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas Medicine Resources, Llp5890688212222

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 Ryschell Renee Bolton allows following entities to bill medicare on her behalf.
Entity NameTexas Physician Resources, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639413289
PECOS PAC ID: 7012161375
Enrollment ID: O20130214000159
Entity NameTexas Medicine Resources, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376581900
PECOS PAC ID: 5890688212
Enrollment ID: O20130702000785

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 Ryschell Renee 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 AddressPractice Location Address
Dr Ryschell Renee Bolton, DO
11217 N Oakwood Dr, Unit 57,
Peoria, IL 61615-1038

Ph: (817) 689-5523		Dr Ryschell Renee Bolton, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (817) 689-5523

Reviews and Comments


Emergency Medicine Doctors in Peoria, IL

Dr. Austin Lamb, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 N.e. Glen Oak Avenue, Osf St. Francis, Emergency Medicine Residency Program, Peoria, IL 61637
Phone: 309-655-7257    
Philip A Fifield, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2553    Fax: 309-655-2602
Dr. Anthony J Buecker, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-5500    
Dr. Mark Phillip Gaudio, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-6710    
Michael M Raso, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1115 N Bourland Ave, Peoria, IL 61606
Phone: 309-264-0730    
Ryan Newberger, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 248-207-2018    
Craig D Koch, M.D
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-7257    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.