Haley Bolen, CRNP in Northport, AL - Medicare Nurse Practitioner

Haley Bolen, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Northport, Alabama. Her current practice location is 1116 Mitt Lary Rd, Northport, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 556-5634.

Haley Bolen is licensed to practice in Alabama (license number 1-145272) 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 1104416486.

Contact Information

	Haley Bolen, CRNP
	1116 Mitt Lary Rd, Northport, AL 35475-4978
	(205) 556-5634
	Not Available

Map and Direction

Provider's Profile

Full Name	Haley Bolen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1116 Mitt Lary Rd, Northport, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104416486
Provider Enumeration Date: 01/21/2021
Last Update Date: 01/21/2021

Medicare PECOS Information:

PECOS PAC ID: 3870909542
Enrollment ID: I20210511001253

Medical Identifiers

Medical identifiers for Haley Bolen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104416486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-145272 (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. Haley Bolen allows following entities to bill medicare on her behalf.

Entity Name	Relias Emergency Medicine Specialists Of Northport, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699261149 PECOS PAC ID: 2668724634 Enrollment ID: O20181003001104

Entity Name	Relias Emergency Medicine Specialists Of Regional, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619463163 PECOS PAC ID: 9436401106 Enrollment ID: O20181008000902

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. Haley Bolen 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
Haley Bolen, CRNP 1116 Mitt Lary Rd, Northport, AL 35475-4978 Ph: (205) 556-5634	Haley Bolen, CRNP 1116 Mitt Lary Rd, Northport, AL 35475-4978 Ph: (205) 556-5634

Reviews and Comments

Nurse Practitioner Nurses in Northport, AL

Jacqueline Elaine White, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3105 31st Ave, Northport, AL 35476 Phone: 205-292-7230
Lisa Colette Ryan, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4280 Watermelon Rd Ste 112, Northport, AL 35473 Phone: 205-750-0030 Fax: 205-750-0855
Kara Lynne Pate, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5710 Watermelon Rd Ste 600, Northport, AL 35473 Phone: 205-345-6272
William Jackson Steele Sr., MSN, CRNP, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Hospital Dr, Northport, AL 35476 Phone: 205-361-5291
Mrs. Amy Nicole Collins X, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4280 Watermelon Rd Ste 111, Northport, AL 35473 Phone: 205-333-8554 Fax: 205-752-7696
Ms. Susanne Mills Snider, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2810 Lurleen Wallace Blvd, Northport, AL 35476 Phone: 205-373-6323 Fax: 205-373-2544

Haley Bolen, CRNP - Medicare Nurse Practitioner in Northport, AL