Tausha Bolin, FNP-BC in Victorville, CA - Medicare Nurse Practitioner

Tausha Bolin, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Victorville, California. Her current practice location is 15030 7th St, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 951-0065.

Tausha Bolin is licensed to practice in California (license number 95027759) 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 1245004720.

Contact Information

	Tausha Bolin, FNP-BC
	15030 7th St, Victorville, CA 92395-3811
	(760) 951-0065
	Not Available

Map and Direction

Provider's Profile

Full Name	Tausha Bolin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15030 7th St, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245004720
Provider Enumeration Date: 11/14/2023
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 7719322254
Enrollment ID: I20240223003449

Medical Identifiers

Medical identifiers for Tausha Bolin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245004720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95027759 (California)	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. Tausha Bolin allows following entities to bill medicare on her behalf.

Entity Name	Vascular Associates Of Southern California, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689835563 PECOS PAC ID: 9335285543 Enrollment ID: O20091001000241

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. Tausha Bolin 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
Tausha Bolin, FNP-BC Po Box 29, Apple Valley, CA 92307-0001 Ph: (760) 403-0514	Tausha Bolin, FNP-BC 15030 7th St, Victorville, CA 92395-3811 Ph: (760) 951-0065

Reviews and Comments

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Tausha Bolin, FNP-BC - Medicare Nurse Practitioner in Victorville, CA