Gordon Bolles, NP in Buffalo, NY - Medicare Nurse Practitioner

Gordon Bolles, NP is a medicare enrolled "Nurse Practitioner" in Buffalo, New York. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sisters Of Charity Hospital Of Buffalo New York, Buffalo Medical Group, P.c., Mercy Hospital Of Buffalo and his current practice location is 100 High St, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 859-5600.

Gordon Bolles is licensed to practice in New York (license number 309573) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013538461.

Contact Information

	Gordon Bolles, NP
	100 High St, Buffalo, NY 14203-1126
	(716) 859-5600
	Not Available

Map and Direction

Provider's Profile

Full Name	Gordon Bolles
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	100 High St, Buffalo, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gordon Bolles graduated from nursing school in 2020

NPI Data:

NPI Number: 1013538461
Provider Enumeration Date: 04/27/2020
Last Update Date: 01/21/2021

Medicare PECOS Information:

PECOS PAC ID: 2264854231
Enrollment ID: I20200619001390

Medical Identifiers

Medical identifiers for Gordon Bolles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013538461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	309573 (New York)	Secondary
363L00000X	Nurse Practitioner	309573 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sisters Of Charity Hospital	Buffalo, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sisters Of Charity Hospital Of Buffalo New York	6204749153	106
Buffalo Medical Group, P.c.	7012820301	237
Mercy Hospital Of Buffalo	8729991666	158

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. Gordon Bolles allows following entities to bill medicare on his behalf.

Entity Name	Buffalo Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213

Entity Name	Sisters Of Charity Hospital Of Buffalo New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557

Entity Name	Mercy Hospital Of Buffalo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164464921 PECOS PAC ID: 8729991666 Enrollment ID: O20040702001253

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. Gordon Bolles 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
Gordon Bolles, NP 425 Essjay Rd Ste 170, Williamsville, NY 14221-8235 Ph: (716) 630-1219	Gordon Bolles, NP 100 High St, Buffalo, NY 14203-1126 Ph: (716) 859-5600

Reviews and Comments

Nurse Practitioner Nurses in Buffalo, NY

Mr. V. Thomas Chapin, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000
Beth Lyn Vaccarelli, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450
Ms. Denise Marie Donahue, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-5600
Mr. Jerry L Corp Ii, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Delaware Ave, Buffalo, NY 14202 Phone: 716-884-0888
Stephanie Erin Myszka, F.N.P.- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300
Jessica Lynn Hafezi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Streets, Buffalo, NY 14263 Phone: 716-845-2300
Yevgeniya S Lipina, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450 Fax: 844-206-7424

Gordon Bolles, NP - Medicare Nurse Practitioner in Buffalo, NY