Gina Bolton Farley, in Southside, AL - Medicare Nurse Practitioner

Gina Bolton Farley, is a medicare enrolled "Nurse Practitioner - Family" in Southside, Alabama. Her current practice location is 5895 Katherine St, Southside, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 490-9304.

Gina Bolton Farley is licensed to practice in Alabama (license number 1-122037) 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 1336687078.

Contact Information

	Gina Bolton Farley,
	5895 Katherine St, Southside, AL 35907-0005
	(256) 490-9304
	Not Available

Map and Direction

Provider's Profile

Full Name	Gina Bolton Farley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5895 Katherine St, Southside, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336687078
Provider Enumeration Date: 02/02/2017
Last Update Date: 02/02/2017

Medicare PECOS Information:

PECOS PAC ID: 4486905064
Enrollment ID: I20180920001346

Medical Identifiers

Medical identifiers for Gina Bolton Farley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336687078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-122037 (Alabama)	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. Gina Bolton Farley allows following entities to bill medicare on her behalf.

Entity Name	App Of Alabama Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174

Entity Name	Alabama Emergency Physician Partners, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891031894 PECOS PAC ID: 4082868641 Enrollment ID: O20130206000466

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. Gina Bolton Farley 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
Gina Bolton Farley, 5895 Katherine St, Southside, AL 35907-0005 Ph: (256) 490-9304	Gina Bolton Farley, 5895 Katherine St, Southside, AL 35907-0005 Ph: (256) 490-9304

Reviews and Comments

Nurse Practitioner Nurses in Southside, AL

Mollie Williams, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1322 Highway 77, Southside, AL 35907 Phone: 256-613-9014
Mindy Beth O'bryant, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3907 Hood Dr, Southside, AL 35907 Phone: 256-689-1038
Angela Marie Pate, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2425 Highway 77, Southside, AL 35907 Phone: 256-442-4141
Amanda Michelle Weaver, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3389 Berkley Hills Dr E, Southside, AL 35907 Phone: 256-490-9900
Misty Lynne Holcomb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2425 Highway 77, Southside, AL 35907 Phone: 256-442-4141 Fax: 256-442-4157

Gina Bolton Farley, - Medicare Nurse Practitioner in Southside, AL