Mrs Willie Mary Bolden, in Shaw, MS

Mrs Willie Mary Bolden, is a medicare enrolled "Nurse Practitioner - Family" in Shaw, Mississippi. Her current practice location is 112 W Peeler Ave, Shaw, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 745-6638.

Mrs Willie Mary Bolden is licensed to practice in Mississippi (license number 903205) 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 1518428283.

Contact Information

	Mrs Willie Mary Bolden,
	112 W Peeler Ave, Shaw, MS 38773-8710
	(662) 745-6638
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Willie Mary Bolden
Gender	Female
Speciality
Experience	Years
Location	112 W Peeler Ave, Shaw, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Willie Mary Bolden attended and graduated from in

NPI Data:

NPI Number: 1518428283
Provider Enumeration Date: 03/26/2019
Last Update Date: 03/26/2019

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mrs Willie Mary Bolden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518428283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903205 (Mississippi)	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. Mrs Willie Mary 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
Mrs Willie Mary Bolden, 112 W Peeler Ave, Shaw, MS 38773-8710 Ph: (662) 754-3301	Mrs Willie Mary Bolden, 112 W Peeler Ave, Shaw, MS 38773-8710 Ph: (662) 745-6638

Reviews and Comments

Nurse Practitioner Nurses in Shaw, MS

Teresa Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301
Tiffany Sherell Newell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301
Mrs. Sereka V Walker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304
Mrs. Regina Jonelle Evans, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304
Nora Cecelia Gough-davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304
Clifton Dewayne Reed, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3304 Fax: 662-754-3301

Mrs Willie Mary Bolden, - Medicare in Shaw, MS