Lacey Mae Bolden, APN in Nashville, TN - Medicare Nurse Practitioner

Lacey Mae Bolden, APN is a medicare enrolled "Nurse Practitioner - Family" in Nashville, Tennessee. Her current practice location is 926 Main St, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 679-9087.

Lacey Mae Bolden is licensed to practice in Tennessee (license number 14287) 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 1740410703.

Contact Information

	Lacey Mae Bolden, APN
	926 Main St, Nashville, TN 37206-3614
	(615) 679-9087
	Not Available

Map and Direction

Provider's Profile

Full Name	Lacey Mae Bolden
Gender	Female
Speciality	Nurse Practitioner - Family
Location	926 Main St, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740410703
Provider Enumeration Date: 07/23/2009
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 9931253770
Enrollment ID: I20090813000511

Medical Identifiers

Medical identifiers for Lacey Mae Bolden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740410703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	14287 (Tennessee)	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. Lacey Mae Bolden allows following entities to bill medicare on her behalf.

Entity Name	Saint Thomas Medical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470

Entity Name	Carebridge Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124656616 PECOS PAC ID: 0648609867 Enrollment ID: O20200408004162

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. Lacey Mae Bolden 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
Lacey Mae Bolden, APN 2204 Salem Woods Dr, Rockvale, TN 37153-4178 Ph: (931) 334-6507	Lacey Mae Bolden, APN 926 Main St, Nashville, TN 37206-3614 Ph: (615) 679-9087

Reviews and Comments

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Lacey Mae Bolden, APN - Medicare Nurse Practitioner in Nashville, TN