Alexander Richard Bolton, DO in Belleville, IL

Alexander Richard Bolton, DO is a medicare enrolled "Internal Medicine" physician in Belleville, Illinois. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2014 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Pines Health Services and his current practice location is 4600 Memorial Dr Ste W1, Belleville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 233-3066.

Alexander Richard Bolton is licensed to practice in Illinois (license number 036163598) 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 1639581127.

Contact Information

	Alexander Richard Bolton, DO
	4600 Memorial Dr Ste W1, Belleville, IL 62226-5359
	(618) 233-3066
	(618) 233-3066

Map and Direction

Physician's Profile

Full Name	Alexander Richard Bolton
Gender	Male
Speciality	Internal Medicine
Experience	11 Years
Location	4600 Memorial Dr Ste W1, Belleville, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alexander Richard Bolton attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2014

NPI Data:

NPI Number: 1639581127
Provider Enumeration Date: 06/02/2014
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 0446477350
Enrollment ID: I20231110001778

Medical Identifiers

Medical identifiers for Alexander Richard Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639581127	NPI	-	NPPES
DO-05182	Other	IA	IOWA MEDICAL LICENSE
036.163598	Other	IL	ILLINOIS MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	036.163598 (Illinois)	Secondary
208M00000X	Hospitalist	036.163598 (Illinois)	Secondary
207R00000X	Internal Medicine	036163598 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cary Medical Center	Caribou, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pines Health Services	0749275113	55

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. Alexander Richard Bolton allows following entities to bill medicare on his behalf.

Entity Name	City Of Caribou
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780615492 PECOS PAC ID: 6800707811 Enrollment ID: O20040619000020

Entity Name	Pines Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942277819 PECOS PAC ID: 0749275113 Enrollment ID: O20040823001052

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. Alexander Richard 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
Alexander Richard Bolton, DO 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-4846	Alexander Richard Bolton, DO 4600 Memorial Dr Ste W1, Belleville, IL 62226-5359 Ph: (618) 233-3066

Reviews and Comments

Internal Medicine Doctors in Belleville, IL

Dr. Dennis P Larson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 509 E Waters Edge Dr, Belleville, IL 62221 Phone: 618-235-1510 Fax: 618-235-1502
Kathleen K Fournier, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337
Eldon Trame, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223 Phone: 618-234-0640 Fax: 314-851-4475
Dr. Vibhu Dhawan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Anand P. Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Kashif Shahzad Bhutto, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 200, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555
Dr. David Nelson Pfohl, MD, FACP, GAQ Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 45 Pebble Hill Dr, Belleville, IL 62223 Phone: 618-604-6518

Alexander Richard Bolton, DO - Medicare Internal Medicine in Belleville, IL