James Bold, PA is a
Physician Assistant - Medical based in Mammoth Lakesa, California. James Bold is licensed to practice in California (license number PA15845) and his current practice location is
85 Sierra Park Rd, Mammoth Lakesa, California. He can be reached at his office (for appointments etc.) via phone at
(760) 924-4084.
NPI number for James Bold is 1659427292 and his current mailing address is Po Box 660, 85 Sierra Park Rd, Mammoth Lakes, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659427292.
Provider's Profile
| Full Name | James Bold |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 85 Sierra Park Rd, Mammoth Lakesa, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659427292
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for James Bold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659427292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA15845 (California) | 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. James Bold 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 |
|---|
James Bold, PA
Po Box 660, 85 Sierra Park Rd,
Mammoth Lakes, CA 93546-0660
Ph: (760) 924-4084 | James Bold, PA
85 Sierra Park Rd,
Mammoth Lakesa, CA 93546-0660
Ph: (760) 924-4084 |
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