Mr Ryan Mabe Bolt, PMHNP-BC, FNP-C in San Diego, CA

Mr Ryan Mabe Bolt, PMHNP-BC, FNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. His current practice location is 10620 Treena St Ste 230, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 609-9763.

Mr Ryan Mabe Bolt is licensed to practice in California (license number 95008584) 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 1639679822.

Contact Information

	Mr Ryan Mabe Bolt, PMHNP-BC, FNP-C
	10620 Treena St Ste 230, San Diego, CA 92131-1140
	(858) 609-9763
	(504) 290-1145

Map and Direction

Provider's Profile

Full Name	Mr Ryan Mabe Bolt
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	10620 Treena St Ste 230, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639679822
Provider Enumeration Date: 02/14/2018
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7113273558
Enrollment ID: I20180627002420

Medical Identifiers

Medical identifiers for Mr Ryan Mabe Bolt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639679822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95008584 (California)	Primary
363LF0000X	Nurse Practitioner - Family	95008584 (California)	Secondary

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. Mr Ryan Mabe Bolt allows following entities to bill medicare on his behalf.

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

Entity Name	Healthy Me Nursing, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972221794 PECOS PAC ID: 8022494178 Enrollment ID: O20220927003933

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. Mr Ryan Mabe Bolt 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
Mr Ryan Mabe Bolt, PMHNP-BC, FNP-C 10620 Treena St Ste 230, San Diego, CA 92131-1140 Ph: (208) 850-6422	Mr Ryan Mabe Bolt, PMHNP-BC, FNP-C 10620 Treena St Ste 230, San Diego, CA 92131-1140 Ph: (858) 609-9763

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Mr Ryan Mabe Bolt, PMHNP-BC, FNP-C - Medicare Nurse Practitioner in San Diego, CA