Mrs Kimberly Ann Bolling, RN in Roanoke, VA - Medicare Nurse Practitioner

Mrs Kimberly Ann Bolling, RN is a medicare enrolled "Nurse Practitioner - Family" in Roanoke, Virginia. Her current practice location is 2001 Crystal Spring Ave Sw Ste 201, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 853-0100.

Mrs Kimberly Ann Bolling is licensed to practice in Virginia (license number 0024184858) 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 1962136184.

Contact Information

	Mrs Kimberly Ann Bolling, RN
	2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465
	(540) 853-0100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Ann Bolling
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2001 Crystal Spring Ave Sw Ste 201, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962136184
Provider Enumeration Date: 07/13/2022
Last Update Date: 09/08/2022

Medicare PECOS Information:

PECOS PAC ID: 0244615870
Enrollment ID: I20220919002089

Medical Identifiers

Medical identifiers for Mrs Kimberly Ann Bolling such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962136184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001192587 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	0024184858 (Virginia)	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. Mrs Kimberly Ann Bolling allows following entities to bill medicare on her behalf.

Entity Name	Carilion Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472

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 Kimberly Ann 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 Kimberly Ann Bolling, RN 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5715	Mrs Kimberly Ann Bolling, RN 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 Ph: (540) 853-0100

Reviews and Comments

Nurse Practitioner Nurses in Roanoke, VA

Catherine Campbell Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3716 Melrose Ave Nw, Roanoke, VA 24017 Phone: 540-362-0360
Mrs. Modupe Oluwaseyi Jolaoso White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212
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Brandlene Leigh Ratcliffe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5372 Fallowater Ln, Roanoke, VA 24018 Phone: 540-283-6000
Victoria Shelly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6415 Peters Creek Rd, Roanoke, VA 24019 Phone: 540-265-5500
Beverly Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 Phone: 540-853-0100 Fax: 540-342-9308
Rosemary Anne Zaucha, MSN, MA, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-981-8429

Mrs Kimberly Ann Bolling, RN - Medicare Nurse Practitioner in Roanoke, VA