Thomas Richard Bolt, MD | |
9313 Medical Plaza Drive, Ste 202, N Charleston, SC 29406 | |
(843) 572-1200 | |
(843) 553-0424 |
Full Name | Thomas Richard Bolt |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 43 Years |
Location | 9313 Medical Plaza Drive, N Charleston, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639136377 | NPI | - | NPPES |
109910 | Medicaid | SC | |
080093457 | Other | SC | MEDICARE RAIL ROAD # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10991 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Homestead Hospice Of Charleston, Llc | Charleston, SC | Hospice |
Bon Secours-st Francis Xavier Hospital | Charleston, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palmetto Primary Care Physicians Llc | 4880508068 | 125 |
Entity Name | Palmetto Primary Care Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
Entity Name | Homestead Hospice Of Charleston Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710623103 PECOS PAC ID: 9032410881 Enrollment ID: O20220902002408 |
Mailing Address | Practice Location Address |
---|---|
Thomas Richard Bolt, MD Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071 | Thomas Richard Bolt, MD 9313 Medical Plaza Drive, Ste 202, N Charleston, SC 29406 Ph: (843) 572-1200 |
Dr. Marion Leslie Cooper Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8901 University Blvd, N Charleston, SC 29406 Phone: 843-203-2245 Fax: 843-203-2244 | |
David W Robinson Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5070 International Blvd Ste 131, N Charleston, SC 29418 Phone: 843-402-5053 Fax: 843-724-1325 | |
Dr. Thaddeus John Bell, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3951 W Montague Ave, N Charleston, SC 29418 Phone: 843-552-1574 Fax: 843-552-1575 | |
Dr. Johnny C Weeks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2075 Eagle Landing Blvd, N Charleston, SC 29406 Phone: 843-797-5747 Fax: 843-797-0857 | |
Dr. Leonard Walter Douglas Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9237 University Blvd, N Charleston, SC 29406 Phone: 843-577-5011 Fax: 843-863-0398 | |
Jeanne B Lumpkin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5133 Rivers Ave, N Charleston, SC 29406 Phone: 843-789-1786 Fax: 843-958-1263 |