Mrs Stacylynne Bolks, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Glen Mills, Pennsylvania. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Orthopaedic And Sports Medicine Associates, Ltd, Premier Orthopaedic And Sports Medicine Associates, Ltd and her current practice location is
300 Evergreen Dr Ste 200, Glen Mills, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 876-0347.
Mrs Stacylynne Bolks is licensed to practice in Pennsylvania (license number SP012846) 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 1356684377.
Physician's Profile
Full Name | Mrs Stacylynne Bolks |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 14 Years |
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Location | 300 Evergreen Dr Ste 200, Glen Mills, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Stacylynne Bolks graduated from medical school in 2010
NPI Data:
- NPI Number: 1356684377
- Provider Enumeration Date: 03/27/2013
- Last Update Date: 04/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486879715
- Enrollment ID: I20140630001916
Medical Identifiers
Medical identifiers for Mrs Stacylynne Bolks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356684377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | SP012846 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP012846 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Premier Orthopaedic And Sports Medicine Associates, Ltd | 5890681092 | 231 |
Premier Orthopaedic And Sports Medicine Associates, Ltd | 5890681092 | 231 |
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. Mrs Stacylynne Bolks allows following entities to bill medicare on her behalf.
Entity Name | Premier Orthopaedic And Sports Medicine Associates, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215987243 PECOS PAC ID: 5890681092 Enrollment ID: O20040225000221 |
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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. Mrs Stacylynne Bolks 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 |
Mrs Stacylynne Bolks, FNP-BC 300 Evergreen Dr Ste 200, Glen Mills, PA 19342-1059 Ph: (610) 876-0347 | Mrs Stacylynne Bolks, FNP-BC 300 Evergreen Dr Ste 200, Glen Mills, PA 19342-1059 Ph: (610) 876-0347 |
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