Jacqueline Bolt, MD | |
7601 Preston Rd, Plano, TX 75024-3214 | |
(469) 303-7000 | |
Not Available |
Full Name | Jacqueline Bolt |
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Gender | Female |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 7601 Preston Rd, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629501333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | S5563 (Texas) | Primary |
Entity Name | Pediatric Emergency Medicine Group, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629448535 PECOS PAC ID: 9931409943 Enrollment ID: O20151124000478 |
Mailing Address | Practice Location Address |
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Jacqueline Bolt, MD 1409 N Zang Blvd Apt 718, Dallas, TX 75203-1233 Ph: (253) 468-3007 | Jacqueline Bolt, MD 7601 Preston Rd, Plano, TX 75024-3214 Ph: (469) 303-7000 |
Dr. Denise D. Peers, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 W 15th St, Plano, TX 75075 Phone: 972-519-1444 | |
Dr. Harold Jimenez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Alliance Blvd, Baylor Regional Medical Center Of Plano/emergency Dept., Plano, TX 75093 Phone: 469-814-3170 | |
Dr. Varalakshmi Jhingade Devesh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8209 Sutherland Ln, Plano, TX 75025 Phone: 404-384-5444 Fax: 615-445-3022 | |
Dr. Marcus Salvador Villarreal, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8205 Strecker Ln, Plano, TX 75025 Phone: 972-712-1660 Fax: 208-275-4451 | |
Dr. John F. Marcucci, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Alliance Blvd, Baylor Plano Emergency Department, Plano, TX 75093 Phone: 469-814-2525 Fax: 469-814-2515 | |
Raheela Sadiq, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6300 W Parker Rd Ste 128, Plano, TX 75093 Phone: 972-981-8658 Fax: 972-981-8657 | |
Dr. Jeffrey Alan Schaffer, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 W 15th St, Plano, TX 75075 Phone: 972-519-1444 |