Alonso Bolivar, PA-C - Medicare Physician Assistant in Dedham, MA

Alonso Bolivar, PA-C is a medicare enrolled "Physician Assistant" in Dedham, Massachusetts. His current practice location is 983 Boston-providence Turnpike, Dedham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 819-6400.

Alonso Bolivar is licensed to practice in Massachusetts (license number PA9018) 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 1649941709.

Contact Information

Alonso Bolivar, PA-C
983 Boston-providence Turnpike,
Dedham, MA 02026
(781) 819-6400
Not Available

Map and Direction




Provider's Profile

Full NameAlonso Bolivar
GenderMale
SpecialityPhysician Assistant
Location983 Boston-providence Turnpike, Dedham, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649941709
  • Provider Enumeration Date: 09/27/2021
  • Last Update Date: 11/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133598097
  • Enrollment ID: I20221215001747

Medical Identifiers

Medical identifiers for Alonso Bolivar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649941709NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9018 (Massachusetts)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. Alonso Bolivar 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
Alonso Bolivar, PA-C
360 Us Highway 1 Byp Unit 102,
Portsmouth, NH 03801-7105

Ph: (603) 410-6700
Alonso Bolivar, PA-C
983 Boston-providence Turnpike,
Dedham, MA 02026

Ph: (781) 819-6400

Reviews and Comments


Physician Assistant Nurses in Dedham, MA

Daniel Jooyeol Gold, PA-C
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Practice Location: 983 Boston-providence Turnpike, Dedham, MA 02026
Phone: 781-819-6400    Fax: 339-234-6921
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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.