Robert Deane Bolton, MD is a medicare enrolled "Pediatrics" physician in Fairchild Afb, Washington. His current practice location is
701 Hospital Loop, Fairchild Afb, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 247-9043.
Robert Deane Bolton is licensed to practice in New Mexico (license number MD2013-0296) 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 1063738631.
Physician's Profile
Full Name | Robert Deane Bolton |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 701 Hospital Loop, Fairchild Afb, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063738631
- Provider Enumeration Date: 04/07/2010
- Last Update Date: 08/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830328178
- Enrollment ID: I20240104003852
Medical Identifiers
Medical identifiers for Robert Deane Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063738631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 1063738631 (Indiana) | Secondary |
208000000X | Pediatrics | MD2013-0296 (New Mexico) | 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. Robert Deane 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 |
Robert Deane Bolton, MD Landstuhl Regional Medical Center Unit 33100, Apo, AE 09180-3100 Ph: (314) 590-7700 | Robert Deane Bolton, MD 701 Hospital Loop, Fairchild Afb, WA 99011-8704 Ph: (509) 247-9043 |
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