Dr James Wade Bolton, DC, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Cookeville, Tennessee. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cookeville Regional Medical Group Inc and his current practice location is
340 N Cedar Ave, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 783-5353.
Dr James Wade Bolton is licensed to practice in Tennessee (license number 24437) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477559649.
Healthcare Provider's Profile
| Full Name | Dr James Wade Bolton |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 340 N Cedar Ave, Cookeville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr James Wade Bolton graduated from medical school in 2018
NPI Data:
- NPI Number: 1477559649
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 05/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385743822
- Enrollment ID: I20190102001919
Medical Identifiers
Medical identifiers for Dr James Wade Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477559649 | NPI | - | NPPES |
| 24437 | Other | TN | ADVANCED PRACTICE REGISTERED NURSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2108 (Tennessee) | Secondary |
| 111NR0400X | Chiropractor - Rehabilitation | 2108 (Tennessee) | Secondary |
| 163W00000X | Registered Nurse | 208311 (Tennessee) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 24437 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 24437 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cookeville Regional Medical Group Inc | 8325092638 | 51 |
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 James Wade Bolton allows following entities to bill medicare on his behalf.
| Provider Name | Cookeville Regional Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649202102
PECOS PAC ID: 8325092638
Enrollment ID: O20050309000874 |
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| Provider Name | Crossroads Urgent Care Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1366644361
PECOS PAC ID: 8325117484
Enrollment ID: O20080515000672 |
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| Provider Name | Fast Pace Medical Clinic Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112 |
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| Provider Name | Notlob Enterprises |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386123222
PECOS PAC ID: 4587909007
Enrollment ID: O20190102001802 |
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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 James Wade Bolton 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 James Wade Bolton, DC, APRN, FNP-C
140 W 7th St,
Cookeville, TN 38501-1726
Ph: (931) 783-5582 | Dr James Wade Bolton, DC, APRN, FNP-C
340 N Cedar Ave,
Cookeville, TN 38501-2421
Ph: (931) 783-5353 |
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