Jerome Dorian Boltz, NP in Winston Salem, NC - Medicare Nurse Practitioner

Jerome Dorian Boltz, NP is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. He graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wake Forest University Health Sciences and his current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-2011.

Jerome Dorian Boltz is licensed to practice in North Carolina (license number 5005247) 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 1578510384.

Contact Information

	Jerome Dorian Boltz, NP
	Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 716-2011
	(336) 716-7359

Map and Direction

Provider's Profile

Full Name	Jerome Dorian Boltz
Gender	Male
Speciality	Nurse Practitioner
Experience	28 Years
Location	Medical Center Blvd, Winston Salem, North Carolina
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:

Jerome Dorian Boltz graduated from nursing school in 1996

NPI Data:

NPI Number: 1578510384
Provider Enumeration Date: 05/27/2006
Last Update Date: 01/05/2022

Medicare PECOS Information:

PECOS PAC ID: 2062683766
Enrollment ID: I20110928000473

Medical Identifiers

Medical identifiers for Jerome Dorian Boltz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578510384	NPI	-	NPPES
1955 A	Other	NC	MEDICARE PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5005247 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5005247 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Carolina Baptist Hospital	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2048

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. Jerome Dorian Boltz allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Jerome Dorian Boltz 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
Jerome Dorian Boltz, NP Po Box 602658, Charlotte, NC 28260-2658 Ph: (336) 716-2255	Jerome Dorian Boltz, NP Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2011

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Jerome Dorian Boltz, NP - Medicare Nurse Practitioner in Winston Salem, NC