Crystal Marie Bolser, AGNP is a
Internal Medicine based in Moline, Illinois. Crystal Marie Bolser is licensed to practice in Illinois (license number 209031246) and her current practice location is
550 30th Ave Ste 12, Moline, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 736-5568.
NPI number for Crystal Marie Bolser is 1518785146 and her current mailing address is Po Box 623, Walcott, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518785146.
Provider's Profile
Full Name | Crystal Marie Bolser |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 550 30th Ave Ste 12, Moline, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518785146
- Provider Enumeration Date: 10/02/2024
- Last Update Date: 02/06/2025
Medical Identifiers
Medical identifiers for Crystal Marie Bolser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518785146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | H181589 (Iowa) | Secondary |
207R00000X | Internal Medicine | 209031246 (Illinois) | 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. Crystal Marie Bolser 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 |
Crystal Marie Bolser, AGNP Po Box 623, Walcott, IA 52773-0623 Ph: () - | Crystal Marie Bolser, AGNP 550 30th Ave Ste 12, Moline, IL 61265-5975 Ph: (309) 736-5568 |
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