Mrs Candice M Bolling, PA-C is a medicare enrolled "Physician Assistant" in Saint Paul, Virginia. She went to University Of Kentucky College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mountain States Health Alliance and her current practice location is
16431 Wise St, Saint Paul, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 762-2300.
Mrs Candice M Bolling is licensed to practice in Virginia (license number 0110002673) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477736684.
Provider's Profile
| Full Name | Mrs Candice M Bolling |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 16431 Wise St, Saint Paul, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Candice M Bolling attended and graduated from University Of Kentucky College Of Medicine in 2007
NPI Data:
- NPI Number: 1477736684
- Provider Enumeration Date: 12/11/2007
- Last Update Date: 02/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092892919
- Enrollment ID: I20080402000687
Medical Identifiers
Medical identifiers for Mrs Candice M Bolling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477736684 | NPI | - | NPPES |
| 1477736684 | Medicaid | VA | |
| P01376909 | Other | VA | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0110002673 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mountain States Health Alliance | 6002726718 | 21 |
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. Mrs Candice M Bolling 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 |
|---|
Mrs Candice M Bolling, PA-C
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192
Ph: (423) 302-6565 | Mrs Candice M Bolling, PA-C
16431 Wise St,
Saint Paul, VA 24283-3537
Ph: (276) 762-2300 |
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