Mychal Bolton, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Vincennes, Indiana. His current practice location is
520 S 7th St, Vincennes, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 882-5220.
Mychal Bolton is licensed to practice in * (Not Available) (license number ) 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 1043890304.
Physician's Profile
Full Name | Mychal Bolton |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 520 S 7th St, Vincennes, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043890304
- Provider Enumeration Date: 04/12/2021
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820499783
- Enrollment ID: I20210629002529
Medical Identifiers
Medical identifiers for Mychal Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043890304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 02007052A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Mychal Bolton 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 |
Mychal Bolton, 520 S 7th St, Vincennes, IN 47591-1038 Ph: (812) 882-5220 | Mychal Bolton, 520 S 7th St, Vincennes, IN 47591-1038 Ph: (812) 882-5220 |
Reviews and Comments