Edward De Jesus Bolanos, CAA - Medicare Anesthesiologist Assistant in Miramar, FL

Edward De Jesus Bolanos, CAA is a medicare enrolled "Anesthesiologist Assistant" in Miramar, Florida. His current practice location is 1901 Sw 172nd Ave, Miramar, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 838-2371.

Edward De Jesus Bolanos is licensed to practice in Florida (license number AA97) 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 1073895017.

Contact Information

Edward De Jesus Bolanos, CAA
1901 Sw 172nd Ave,
Miramar, FL 33029-5592
(954) 838-2371
(954) 851-1746

Map and Direction




Provider's Profile

Full NameEdward De Jesus Bolanos
GenderMale
SpecialityAnesthesiologist Assistant
Location1901 Sw 172nd Ave, Miramar, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073895017
  • Provider Enumeration Date: 09/15/2011
  • Last Update Date: 03/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315110061
  • Enrollment ID: I20111025000875

Medical Identifiers

Medical identifiers for Edward De Jesus Bolanos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073895017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant AA97 (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. Edward De Jesus Bolanos allows following entities to bill medicare on his behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355

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. Edward De Jesus Bolanos 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 AddressPractice Location Address
Edward De Jesus Bolanos, CAA
7700 W Sunrise Blvd,
Plantation, FL 33322-4113

Ph: (954) 838-2371
Edward De Jesus Bolanos, CAA
1901 Sw 172nd Ave,
Miramar, FL 33029-5592

Ph: (954) 838-2371

Reviews and Comments


Anesthesiologist Assistant Nurses in Miramar, FL

Richard La Rosa, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029
Phone: 954-538-5000    
Jose G Toca, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029
Phone: 954-538-5171    
Pedro A Lorenzo Jr., AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029
Phone: 954-838-2371    
Jillian Nicole Sabates, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029
Phone: 954-538-5000    Fax: 954-851-1758
Fahim A. Siddiqui, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029
Phone: 954-538-5000    
Allison Leigh Matis, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029
Phone: 954-538-5000    Fax: 954-851-1758

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.