Dr Shannon Gehnai Bolden, DNP, WHNP-BC in College Park, MD

Dr Shannon Gehnai Bolden, DNP, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in College Park, Maryland. Her current practice location is 9308 Cherry Hill Rd Apt 220, College Park, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 409-8206.

Dr Shannon Gehnai Bolden is licensed to practice in Maryland (license number R178324) 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 1326480039.

Contact Information

	Dr Shannon Gehnai Bolden, DNP, WHNP-BC
	9308 Cherry Hill Rd Apt 220, College Park, MD 20740-1233
	(410) 409-8206
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Shannon Gehnai Bolden
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	9308 Cherry Hill Rd Apt 220, College Park, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326480039
Provider Enumeration Date: 07/23/2013
Last Update Date: 04/06/2024

Medicare PECOS Information:

PECOS PAC ID: 9032658570
Enrollment ID: I20240828000972

Medical Identifiers

Medical identifiers for Dr Shannon Gehnai Bolden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326480039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R178324 (Maryland)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	R178324 (Maryland)	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. Dr Shannon Gehnai Bolden allows following entities to bill medicare on her behalf.

Entity Name	Marys Center For Maternal And Child Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962520288 PECOS PAC ID: 5092798298 Enrollment ID: O20040609000873

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. Dr Shannon Gehnai 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
Dr Shannon Gehnai Bolden, DNP, WHNP-BC 9308 Cherry Hill Rd Apt 220, College Park, MD 20740-1233 Ph: (410) 369-8994	Dr Shannon Gehnai Bolden, DNP, WHNP-BC 9308 Cherry Hill Rd Apt 220, College Park, MD 20740-1233 Ph: (410) 409-8206

Reviews and Comments

Nurse Practitioner Nurses in College Park, MD

Jessica De Grasse, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6201 Greenbelt Road, Suite L1, College Park, MD 20740 Phone: 301-346-1900
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Zainab Koroma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7100 Baltimore Ave, College Park, MD 20740 Phone: 202-269-6000
Marilyn L Holloman, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Berwyn House Rd, Suite 101, College Park, MD 20740 Phone: 301-441-3722 Fax: 301-441-2774
Dr. Adedayo Adekemisola Ekundayo, PHD CRNP CCRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7309 Baltimore Ave Ste 220, College Park, MD 20740 Phone: 301-892-6296 Fax: 301-746-0551

Dr Shannon Gehnai Bolden, DNP, WHNP-BC - Medicare Nurse Practitioner in College Park, MD