Mary Bolela, is a
Assisted Living Facility - Assisted Living, Mental Illness based in Jackson, Mississippi. Mary Bolela is licensed to practice in * (Not Available) (license number ) and her current practice location is
242 Holly Hill Dr, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 573-9458.
NPI number for Mary Bolela is 1871355578 and her current mailing address is 242 Holly Hill Dr, Jackson, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871355578.
Provider's Profile
Full Name | Mary Bolela |
---|
Gender | Female |
---|
Speciality | Assisted Living Facility - Assisted Living, Mental Illness |
---|
Location | 242 Holly Hill Dr, Jackson, Mississippi |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871355578
- Provider Enumeration Date: 01/29/2024
- Last Update Date: 01/29/2024
Medical Identifiers
Medical identifiers for Mary Bolela such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871355578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 875417 (Mississippi) | Secondary |
3104A0625X | Assisted Living Facility - Assisted Living, Mental Illness | (* (Not Available)) | 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. Mary Bolela 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 |
Mary Bolela, 242 Holly Hill Dr, Jackson, MS 39212-5867 Ph: (601) 573-9458 | Mary Bolela, 242 Holly Hill Dr, Jackson, MS 39212-5867 Ph: (601) 573-9458 |
Reviews and Comments