Ms Dahlia Jeanetta Bolt, FNP - Medicare Nurse Practitioner in Staten Island, NY

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Ms Dahlia Jeanetta Bolt, FNP is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rj Medical And Urgent Care Pllc, Maimonides Faculty Practice Plan and her current practice location is 217 Forest Grn, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 360-6842.

Ms Dahlia Jeanetta Bolt is licensed to practice in New York (license number 348892) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255086625.

Contact Information

Ms Dahlia Jeanetta Bolt, FNP
217 Forest Grn,
Staten Island, NY 10312-1715
(718) 360-6842
Not Available

Map and Direction




Provider's Profile

Full NameMs Dahlia Jeanetta Bolt
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location217 Forest Grn, Staten Island, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Dahlia Jeanetta Bolt graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1255086625
  • Provider Enumeration Date: 02/15/2022
  • Last Update Date: 02/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739576174
  • Enrollment ID: I20220503001900

Medical Identifiers

Medical identifiers for Ms Dahlia Jeanetta Bolt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255086625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 348892 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rj Medical And Urgent Care Pllc054756782817
Maimonides Faculty Practice Plan7012808348195

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. Ms Dahlia Jeanetta Bolt allows following entities to bill medicare on her behalf.
Entity NameMaimonides Faculty Practice Plan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053344846
PECOS PAC ID: 7012808348
Enrollment ID: O20040324000597
Entity NameRj Medical & Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346632262
PECOS PAC ID: 0547567828
Enrollment ID: O20160331001761
Entity NameMedical Director Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20160621000218

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. Ms Dahlia Jeanetta Bolt 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
Ms Dahlia Jeanetta Bolt, FNP
217 Forest Grn,
Staten Island, NY 10312-1715

Ph: (718) 360-6842		Ms Dahlia Jeanetta Bolt, FNP
217 Forest Grn,
Staten Island, NY 10312-1715

Ph: (718) 360-6842

Reviews and Comments


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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).

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