Dr Beau Bolding, DDS in Columbia, TN - Medicare Dentist Provider

Dr Beau Bolding, DDS is a medicare enrolled "Dentist - General Practice" provider in Columbia, Tennessee. His current practice location is 1300 Hatcher Ln Ste 1, Columbia, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 388-2279.

Dr Beau Bolding is licensed to practice in Tennessee (license number 11954) 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 1659028652.

Contact Information

	Dr Beau Bolding, DDS
	1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554
	(931) 388-2279
	(931) 223-5567

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Beau Bolding
Gender	Male
Speciality	Dentist - General Practice
Location	1300 Hatcher Ln Ste 1, Columbia, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659028652
Provider Enumeration Date: 03/09/2022
Last Update Date: 08/12/2025

Medicare PECOS Information:

PECOS PAC ID: 1254870850
Enrollment ID: I20240827003779

Medical Identifiers

Medical identifiers for Dr Beau Bolding such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659028652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	62214 (Kansas)	Secondary
1223G0001X	Dentist - General Practice	4294-22 (Mississippi)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
1223G0001X	Dentist - General Practice	11954 (Tennessee)	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. Dr Beau Bolding allows following entities to bill medicare on his behalf.

Entity Name	Community Health Center Of Southeast Kansas Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163

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 Beau Bolding 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 Beau Bolding, DDS 1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554 Ph: (931) 388-2279	Dr Beau Bolding, DDS 1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554 Ph: (931) 388-2279

Reviews and Comments

Dentist in Columbia, TN

Dr. Daniel Frank Frederick, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1514 Hatcher Ln, Columbia, TN 38401 Phone: 931-381-7591
Dr. Steven K Nowlin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1506 Hatcher Ln, Columbia, TN 38401 Phone: 931-388-3127
Logan Campbell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 706 Lion Pkwy # 4721, Columbia, TN 38401 Phone: 931-388-3384
Dr. Victor Clarence Beck Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 1603 Rosewood Drive, Columbia, TN 38401 Phone: 931-388-8452 Fax: 931-388-5011
Dr. Kathryn Leigh Frederick, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1514 Hatcher Ln, Columbia, TN 38401 Phone: 931-381-7591
Dr. William L Hunter Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1324 Trotwood Ave, Suite 3, Columbia, TN 38401 Phone: 931-381-0340 Fax: 931-388-2818
David Kirkland Andrews, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1412 Trotwood Ave, Ste. 4, Columbia, TN 38401 Phone: 931-381-8149 Fax: 931-381-6662

Dr Beau Bolding, DDS - Medicare Dentist in Columbia, TN