Dr Thomas Vance Bolling, MD is a medicare enrolled "Surgery" physician in Rutherfordton, North Carolina. His current practice location is
330 Nc Highway 108, Rutherfordton, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 286-1743.
Dr Thomas Vance Bolling is licensed to practice in North Carolina (license number 23469) 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 1316983745.
Physician's Profile
| Full Name | Dr Thomas Vance Bolling |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 330 Nc Highway 108, Rutherfordton, North Carolina |
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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: 1316983745
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 04/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 8921007865
- Enrollment ID: I20061204000316
Medical Identifiers
Medical identifiers for Dr Thomas Vance Bolling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316983745 | NPI | - | NPPES |
| Q024752 | Medicaid | TN | |
| 1316983745 | Medicaid | VA | |
| 1229F | Other | NC | BCBS |
| 3001288 | Medicaid | TN | |
| 340156 | Medicaid | SC | |
| 8916467 | Medicaid | NC | |
| 1962821322 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 8239 (North Dakota) | Secondary |
| 208600000X | Surgery | 9980 (South Carolina) | Secondary |
| 208600000X | Surgery | 23469 (North Carolina) | Primary |
| 208600000X | Surgery | 25768 (Tennessee) | Secondary |
| 208600000X | Surgery | 4403 (Alaska) | 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. Dr Thomas Vance Bolling allows following entities to bill medicare on his behalf.
| Entity Name | Carolina Family Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184655722
PECOS PAC ID: 4587557731
Enrollment ID: O20040203000627 |
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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 Thomas Vance Bolling 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 Thomas Vance Bolling, MD
330 Nc Highway 108,
Rutherfordton, NC 28139
Ph: (828) 286-1743 | Dr Thomas Vance Bolling, MD
330 Nc Highway 108,
Rutherfordton, NC 28139
Ph: (828) 286-1743 |
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