Kevin P Bolan, RPA C is a medicare enrolled "Physician Assistant" in Newcomb, New York. His current practice location is
4 Santanoni Drive, Newcomb, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 582-2991.
Kevin P Bolan is licensed to practice in New York (license number 0022961) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952471187.
Provider's Profile
| Full Name | Kevin P Bolan |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 4 Santanoni Drive, Newcomb, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952471187
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 0143248088
- Enrollment ID: I20051109000231
Medical Identifiers
Medical identifiers for Kevin P Bolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952471187 | NPI | - | NPPES |
| 01110874 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0022961 (New York) | 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. Kevin P Bolan 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 |
|---|
Kevin P Bolan, RPA C
4 Santanoni Drive,
Newcomb, NY 12852-1913
Ph: (518) 582-2991 | Kevin P Bolan, RPA C
4 Santanoni Drive,
Newcomb, NY 12852
Ph: (518) 582-2991 |
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