John William Bolen Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Galax, Virginia. He went to University Of Virginia School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Raleigh Radiology Associates Inc and his current practice location is
200 Hospital Dr, Galax, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 236-8175.
John William Bolen Jr is licensed to practice in Virginia (license number 0101040131) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265404925.
Physician's Profile
| Full Name | John William Bolen Jr |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 39 Years |
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| Location | 200 Hospital Dr, Galax, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John William Bolen Jr attended and graduated from University Of Virginia School Of Medicine in 1985
NPI Data:
- NPI Number: 1265404925
- Provider Enumeration Date: 02/06/2006
- Last Update Date: 02/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 4587619317
- Enrollment ID: I20091217000287
Medical Identifiers
Medical identifiers for John William Bolen Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265404925 | NPI | - | NPPES |
| 007202865 | Medicaid | VA | |
| 300038351 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 0101040131 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Raleigh Radiology Associates Inc | 6800874611 | 67 |
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. John William Bolen Jr allows following entities to bill medicare on his behalf.
| Entity Name | Galax Radiology, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396717096
PECOS PAC ID: 8224083050
Enrollment ID: O20050315000455 |
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| Entity Name | Raleigh Radiology Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811920101
PECOS PAC ID: 6800874611
Enrollment ID: O20200923002288 |
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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. John William Bolen Jr 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 |
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John William Bolen Jr, MD
110 Valley St,
Galax, VA 24333-2224
Ph: () - | John William Bolen Jr, MD
200 Hospital Dr,
Galax, VA 24333-2227
Ph: (703) 236-8175 |
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