Tara Wulff Bolka, FNP-C in La Grande, OR - Medicare Nurse Practitioner

Tara Wulff Bolka, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in La Grande, Oregon. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Independence Emergency Group Llc and her current practice location is 506 4th St, La Grande, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 663-3138.

Tara Wulff Bolka is licensed to practice in Oregon (license number 201910351NP-PP) 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 1558894329.

Contact Information

	Tara Wulff Bolka, FNP-C
	506 4th St, La Grande, OR 97850-1906
	(541) 663-3138
	(541) 975-5120

Map and Direction

Provider's Profile

Full Name	Tara Wulff Bolka
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	506 4th St, La Grande, Oregon
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:

Tara Wulff Bolka graduated from nursing school in 2017

NPI Data:

NPI Number: 1558894329
Provider Enumeration Date: 04/07/2017
Last Update Date: 03/06/2024

Medicare PECOS Information:

PECOS PAC ID: 7012287485
Enrollment ID: I20230803004258

Medical Identifiers

Medical identifiers for Tara Wulff Bolka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558894329	NPI	-	NPPES
500773203	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-089967 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	203981 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	201910351NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tulane Medical Center	New orleans, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Independence Emergency Group Llc	4284759325	18

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. Tara Wulff Bolka allows following entities to bill medicare on her behalf.

Entity Name	Independence Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528384773 PECOS PAC ID: 4284759325 Enrollment ID: O20100914000327

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. Tara Wulff Bolka 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
Tara Wulff Bolka, FNP-C Po Box 3290, La Grande, OR 97850-7290 Ph: (541) 663-7313	Tara Wulff Bolka, FNP-C 506 4th St, La Grande, OR 97850-1906 Ph: (541) 663-3138

Reviews and Comments

Nurse Practitioner Nurses in La Grande, OR

Jennifer Marie Province, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 541-962-3803
Dr. Pamela M Mcwhirter, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3030 Fax: 541-975-5201
Dr. Gary Robert Laustsen, FNP, PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 541-962-3132
Heather Wiggins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 541-962-3825
Scott Alden Widener, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1412 Fax: 541-963-1488
Jacqui Kleeman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Depot St, La Grande, OR 97850 Phone: 541-963-3772
Ms. Jessica Eileen Martin, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138

Tara Wulff Bolka, FNP-C - Medicare Nurse Practitioner in La Grande, OR