Jo Ann N Bolli, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Clinton, Kentucky. Her current practice location is
308 S Washington St, Clinton, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 254-3021.
Jo Ann N Bolli is licensed to practice in Tennessee (license number 43737) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134198526.
Physician's Profile
| Full Name | Jo Ann N Bolli |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology - Gynecology |
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| Location | 308 S Washington St, Clinton, Kentucky |
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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: 1134198526
- Provider Enumeration Date: 03/16/2006
- Last Update Date: 12/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 0244281772
- Enrollment ID: I20240910000975
Medical Identifiers
Medical identifiers for Jo Ann N Bolli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134198526 | NPI | - | NPPES |
| 4046827 | Medicaid | TN | |
| 4143318 | Other | TN | BCBS |
| 000000502868 | Other | KY | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 43737 (Tennessee) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 43737 (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. Jo Ann N Bolli allows following entities to bill medicare on her behalf.
| Entity Name | Oasis Treatment Center, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295566792
PECOS PAC ID: 3577096247
Enrollment ID: O20241101003454 |
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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. Jo Ann N Bolli 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 |
|---|
Jo Ann N Bolli, MD
627 Asheville Hwy,
Greeneville, TN 37743-5401
Ph: (423) 626-1521 | Jo Ann N Bolli, MD
308 S Washington St,
Clinton, KY 42031-1340
Ph: (270) 254-3021 |
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