Alexis Rae Bolton, - Medicare Nurse Practitioner in Downey, CA

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Alexis Rae Bolton, is a medicare enrolled "Nurse Practitioner - Family" in Downey, California. Her current practice location is 11500 Brookshire Ave, Downey, California. You can reach out to her office (for appointments etc.) via phone at (562) 904-5000.

Alexis Rae Bolton is licensed to practice in California (license number 95014147) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215546197.

Contact Information

Alexis Rae Bolton,
11500 Brookshire Ave,
Downey, CA 90241-4917
(562) 904-5000
(562) 904-5140

Map and Direction




Provider's Profile

Full NameAlexis Rae Bolton
GenderFemale
SpecialityNurse Practitioner - Family
Location11500 Brookshire Ave, Downey, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215546197
  • Provider Enumeration Date: 07/28/2020
  • Last Update Date: 03/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759709439
  • Enrollment ID: I20200911001737

Medical Identifiers

Medical identifiers for Alexis Rae Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215546197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95014147 (California)Primary

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. Alexis Rae Bolton allows following entities to bill medicare on her behalf.
Entity NamePih Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609233899
PECOS PAC ID: 8426951328
Enrollment ID: O20040128001177
Entity NameLuke Macyszyn Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104543354
PECOS PAC ID: 2769850577
Enrollment ID: O20221129002899

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. Alexis Rae 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 AddressPractice Location Address
Alexis Rae Bolton,
11500 Brookshire Ave,
Downey, CA 90241-4917

Ph: (562) 904-5000		Alexis Rae Bolton,
11500 Brookshire Ave,
Downey, CA 90241-4917

Ph: (562) 904-5000

Reviews and Comments


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Mrs. Jardine Maerlyn Cordero-pagunsan, NP-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.