Ashlyn Nicole Bolen, is a
Student In An Organized Health Care Education/training Program based in North Augusta, South Carolina. Ashlyn Nicole Bolen is licensed to practice in * (Not Available) (license number ) and her current practice location is
136 Walsh Way, North Augusta, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 507-5823.
NPI number for Ashlyn Nicole Bolen is 1790548048 and her current mailing address is 136 Walsh Way, North Augusta, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790548048.
Provider's Profile
| Full Name | Ashlyn Nicole Bolen |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 136 Walsh Way, North Augusta, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790548048
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medical Identifiers
Medical identifiers for Ashlyn Nicole Bolen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790548048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Ashlyn Nicole Bolen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ashlyn Nicole Bolen,
136 Walsh Way,
North Augusta, SC 29841-5481
Ph: () - | Ashlyn Nicole Bolen,
136 Walsh Way,
North Augusta, SC 29841-5481
Ph: (803) 507-5823 |
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