Dr Howard Bolos, OD in Cocoa, FL - Medicare Optometrist Provider

Dr Howard Bolos, OD is a medicare enrolled "Optometrist" provider in Cocoa, Florida. His current practice location is 113 Maryland Ave, Cocoa, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 636-4422.

Dr Howard Bolos is licensed to practice in Florida (license number OPC1719) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609984665.

Contact Information

	Dr Howard Bolos, OD
	113 Maryland Ave, Cocoa, FL 32922-7832
	(321) 636-4422
	(321) 632-9254

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Howard Bolos
Gender	Male
Speciality	Optometrist
Location	113 Maryland Ave, Cocoa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609984665
Provider Enumeration Date: 08/29/2006
Last Update Date: 09/26/2018

Medicare PECOS Information:

PECOS PAC ID: 7315195302
Enrollment ID: I20120917000686

Medical Identifiers

Medical identifiers for Dr Howard Bolos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609984665	NPI	-	NPPES
078230100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WC0802X	Optometrist - Corneal And Contact Management	OPC 001719 (Florida)	Secondary
152W00000X	Optometrist	OPC1719 (Florida)	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 Howard Bolos allows following entities to bill medicare on his behalf.

Provider Name	Brevard Eye Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558456681 PECOS PAC ID: 7719884576 Enrollment ID: O20040108000642

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 Howard Bolos 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 Howard Bolos, OD 113 Maryland Ave, Cocoa, FL 32922-7832 Ph: (321) 636-4422	Dr Howard Bolos, OD 113 Maryland Ave, Cocoa, FL 32922-7832 Ph: (321) 636-4422

Reviews and Comments

Optometrist in Cocoa, FL

Howard B Bolos, Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 113 Maryland Ave, Cocoa, FL 32922 Phone: 321-636-4422 Fax: 321-632-9254
Micah Ramon Girard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1941 Michigan Ave, Cocoa, FL 32922 Phone: 321-638-3931 Fax: 321-638-0788
Visionary Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1941 Michigan Ave, Cocoa, FL 32922 Phone: 321-638-3931
Dr. Jennifer Tonnu Tonthat, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2700 Clearlake Rd, Cocoa, FL 32922 Phone: 321-631-0373 Fax: 321-631-0375

Dr Howard Bolos, OD - Medicare Optometrist in Cocoa, FL