Dr John P Bolger, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Mt Pleasant, South Carolina. His current practice location is
1305 Wild Olive Dr, Mt Pleasant, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 987-7285.
Dr John P Bolger is licensed to practice in Ohio (license number 4800) 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 1891725024.
Healthcare Provider's Profile
| Full Name | Dr John P Bolger |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1305 Wild Olive Dr, Mt Pleasant, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891725024
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 04/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830431691
- Enrollment ID: I20190425002754
Medical Identifiers
Medical identifiers for Dr John P Bolger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891725024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0700X | Psychologist - Adult Development & Aging | 4800 (Ohio) | Secondary |
| 103TC0700X | Psychologist - Clinical | 4800 (Ohio) | Secondary |
| 103TH0004X | Psychologist - Health | 4800 (Ohio) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 4800 (Ohio) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 4800 (Ohio) | Primary |
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 John P Bolger 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 John P Bolger, PHD
1305 Wild Olive Dr,
Mt Pleasant, SC 29464-7478
Ph: (910) 987-7285 | Dr John P Bolger, PHD
1305 Wild Olive Dr,
Mt Pleasant, SC 29464-7478
Ph: (910) 987-7285 |
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