Ms Kimberly Ellen Boldon, NP-C in Middletown, CT

Ms Kimberly Ellen Boldon, NP-C is a medicare enrolled "Nurse Practitioner" in Middletown, Connecticut. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 11 S Main St, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 347-4555.

Ms Kimberly Ellen Boldon is licensed to practice in Connecticut (license number 6303) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1083083638.

Contact Information

	Ms Kimberly Ellen Boldon, NP-C
	11 S Main St, Middletown, CT 06457-3656
	(860) 347-4555
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kimberly Ellen Boldon
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	11 S Main St, Middletown, Connecticut
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kimberly Ellen Boldon graduated from nursing school in 2015

NPI Data:

NPI Number: 1083083638
Provider Enumeration Date: 09/24/2015
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4688974256
Enrollment ID: I20151203002512

Medical Identifiers

Medical identifiers for Ms Kimberly Ellen Boldon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083083638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	6303 (Connecticut)	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. Ms Kimberly Ellen Boldon allows following entities to bill medicare on her behalf.

Entity Name	Middlesex Dermatology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376089003 PECOS PAC ID: 5799054839 Enrollment ID: O20170706000765

Entity Name	The Dermatology Center Of Connecticut Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922633213 PECOS PAC ID: 7618308214 Enrollment ID: O20200515000201

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 Kimberly Ellen Boldon 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
Ms Kimberly Ellen Boldon, NP-C 11 S Main St, Middletown, CT 06457-3656 Ph: (860) 347-4555	Ms Kimberly Ellen Boldon, NP-C 11 S Main St, Middletown, CT 06457-3656 Ph: (860) 347-4555

Reviews and Comments

Nurse Practitioner Nurses in Middletown, CT

Christina M Barrows, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-358-6394 Fax: 860-358-6748
Kendall Elizabeth Cote, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-942-6983
Mr. Ananias Gloria Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Centerpoint Dr Ste 215, Middletown, CT 06457 Phone: 888-964-6681 Fax: 888-662-0859
Danielle Langer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Saybrook Rd Ste 205, Middletown, CT 06457 Phone: 860-346-7738 Fax: 860-347-2097
Mae Joy E. Falk, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Nutmeg Ct, Middletown, CT 06457 Phone: 860-346-4133
Stacey Durr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 S Main St, Middletown, CT 06457 Phone: 860-358-6486
Meredith Campbell, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Main St, Middletown, CT 06457 Phone: 860-347-6971

Ms Kimberly Ellen Boldon, NP-C - Medicare Nurse Practitioner in Middletown, CT