Rolph M Bolstad, CRNA in Saint Louis, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Rolph M Bolstad, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Louis, Missouri. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Metro-west Anesthesia Group Inc and his current practice location is 2345 Dougherty Ferry Rd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 775-2816.

Rolph M Bolstad is licensed to practice in Missouri (license number 142123) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265721633.

Contact Information

	Rolph M Bolstad, CRNA
	2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313
	(314) 775-2816
	Not Available

Map and Direction

Provider's Profile

Full Name	Rolph M Bolstad
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	2345 Dougherty Ferry Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Rolph M Bolstad graduated from nursing school in 2011

NPI Data:

NPI Number: 1265721633
Provider Enumeration Date: 04/06/2011
Last Update Date: 04/06/2011

Medicare PECOS Information:

PECOS PAC ID: 8628246584
Enrollment ID: I20110719000797

Medical Identifiers

Medical identifiers for Rolph M Bolstad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265721633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	142123 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Des Peres Hospital	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Metro-west Anesthesia Group Inc	2163329921	149

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. Rolph M Bolstad allows following entities to bill medicare on his behalf.

Entity Name	Metro-west Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563

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. Rolph M Bolstad 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
Rolph M Bolstad, CRNA 13523 Barrett Parkway Dr, Ste 210, Ballwin, MO 63021-3802 Ph: (314) 775-2816	Rolph M Bolstad, CRNA 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 Ph: (314) 775-2816

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Saint Louis, MO

Ms. Mary Katherine Kinworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12634 Olive Blvd, Dept Anesthesiology, Saint Louis, MO 63141 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Kelsey Elise Fogus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Claira J Sousa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Claire Aubuchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 129 N Ballas Rd, Saint Louis, MO 63122 Phone: 314-996-5330 Fax: 314-810-1399
Mr. Aaron M Weinzettel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Tracy Lanes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-6973 Fax: 314-362-1185
Mr. Michael Mccamley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12634 Olive Blvd, Saint Louis, MO 63141 Phone: 314-996-8685 Fax: 314-996-8479

Rolph M Bolstad, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Saint Louis, MO