Ms Mary Kathleen Bolles, PMHNP - Counselor in Austin, TX

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Ms Mary Kathleen Bolles, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Austin, Texas. Ms Mary Kathleen Bolles is licensed to practice in Texas (license number 521247) and her current practice location is 3705 Medical Parkway, #450, Austin Medical Plaza, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at (512) 306-0061.

NPI number for Ms Mary Kathleen Bolles is 1124037957 and her current mailing address is 3705 Medical Parkway #450, Austin Medical Plaza, Austin, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124037957.

Contact Information

Ms Mary Kathleen Bolles, PMHNP
3705 Medical Parkway, #450, Austin Medical Plaza,
Austin, TX 78705
(512) 306-0061
(512) 306-0069

Map and Direction


Healthcare Provider's Profile

Full NameMs Mary Kathleen Bolles
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3705 Medical Parkway, #450, Austin, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124037957
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 10/28/2015

Medical Identifiers

Medical identifiers for Ms Mary Kathleen Bolles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124037957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 13337 (Texas)Secondary
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult 521247 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 521247 (Texas)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. Ms Mary Kathleen Bolles is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mary Kathleen Bolles, PMHNP
3705 Medical Parkway #450, Austin Medical Plaza,
Austin, TX 78705

Ph: (512) 306-0061		Ms Mary Kathleen Bolles, PMHNP
3705 Medical Parkway, #450, Austin Medical Plaza,
Austin, TX 78705

Ph: (512) 306-0061

Reviews and Comments


Nurse Practitioner in Austin, TX


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