Edward De Jesus Bolanos, CAA in Miramar, FL - Medicare Anesthesiologist Assistant

Edward De Jesus Bolanos, CAA is a medicare enrolled "Anesthesiologist Assistant" in Miramar, Florida. His current practice location is 1901 Sw 172nd Ave, Miramar, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 838-2371.

Edward De Jesus Bolanos is licensed to practice in Florida (license number AA97) 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 1073895017.

Contact Information

	Edward De Jesus Bolanos, CAA
	1901 Sw 172nd Ave, Miramar, FL 33029-5592
	(954) 838-2371
	(954) 851-1746

Map and Direction

Provider's Profile

Full Name	Edward De Jesus Bolanos
Gender	Male
Speciality	Anesthesiologist Assistant
Location	1901 Sw 172nd Ave, Miramar, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073895017
Provider Enumeration Date: 09/15/2011
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7315110061
Enrollment ID: I20111025000875

Medical Identifiers

Medical identifiers for Edward De Jesus Bolanos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073895017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	AA97 (Florida)	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. Edward De Jesus Bolanos allows following entities to bill medicare on his behalf.

Entity Name	Sheridan Healthcorp Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355

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. Edward De Jesus Bolanos 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 Address	Practice Location Address
Edward De Jesus Bolanos, CAA 7700 W Sunrise Blvd, Plantation, FL 33322-4113 Ph: (954) 838-2371	Edward De Jesus Bolanos, CAA 1901 Sw 172nd Ave, Miramar, FL 33029-5592 Ph: (954) 838-2371

Reviews and Comments

Anesthesiologist Assistant Nurses in Miramar, FL

Richard La Rosa, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000
Jose G Toca, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5171
Pedro A Lorenzo Jr., AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-838-2371
Jillian Nicole Sabates, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 Fax: 954-851-1758
Fahim A. Siddiqui, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000
Allison Leigh Matis, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 Fax: 954-851-1758

Edward De Jesus Bolanos, CAA - Medicare Anesthesiologist Assistant in Miramar, FL