Yvonne Bolumole, APRN, RN in New Haven, CT - Medicare Nurse Practitioner

Yvonne Bolumole, APRN, RN is a medicare enrolled "Nurse Practitioner - Primary Care" in New Haven, Connecticut. Her current practice location is 1 Long Wharf Dr, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 781-4600.

Yvonne Bolumole is licensed to practice in Connecticut (license number 12365) 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 1720559438.

Contact Information

	Yvonne Bolumole, APRN, RN
	1 Long Wharf Dr, New Haven, CT 06511-5991
	(203) 781-4600
	(203) 781-4624

Map and Direction

Provider's Profile

Full Name	Yvonne Bolumole
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1 Long Wharf Dr, New Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720559438
Provider Enumeration Date: 12/07/2018
Last Update Date: 10/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9931555091
Enrollment ID: I20231025002189

Medical Identifiers

Medical identifiers for Yvonne Bolumole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720559438	NPI	-	NPPES
008122059	Medicaid	CT
004217099	Medicaid	CT
004041000	Medicaid	CT
008003745	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	12365 (Connecticut)	Primary
163W00000X	Registered Nurse	131378 (Connecticut)	Secondary

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. Yvonne Bolumole allows following entities to bill medicare on her behalf.

Entity Name	Apt Foundation, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801950951 PECOS PAC ID: 8729250204 Enrollment ID: O20111005000111

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. Yvonne Bolumole 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
Yvonne Bolumole, APRN, RN 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 Ph: (203) 781-4600	Yvonne Bolumole, APRN, RN 1 Long Wharf Dr, New Haven, CT 06511-5991 Ph: (203) 781-4600

Reviews and Comments

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Yvonne Bolumole, APRN, RN - Medicare Nurse Practitioner in New Haven, CT