| David L Bolin, MD | |
|
9623 Red Arrow Hwy, Bridgman, MI 49106-9559 | |
| (269) 465-6050 | |
| (269) 465-3134 |
| Full Name | David L Bolin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 9623 Red Arrow Hwy, Bridgman, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952388225 | NPI | - | NPPES |
| 000000523089 | Other | IN | ANTHEM |
| 000000659589 | Other | IN | ANTHEM |
| 200120150 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301516382 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital North | Indianapolis, IN | Hospital |
| Community Hospital East | Indianapolis, IN | Hospital |
| Indiana University Health Tipton Hospital Inc | Tipton, IN | Hospital |
| Community Hospital Of Anderson And Madison County | Anderson, IN | Hospital |
| Riverview Health | Noblesville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1592 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| David L Bolin, MD 9623 Red Arrow Hwy, Bridgman, MI 49106-9559 Ph: () - | David L Bolin, MD 9623 Red Arrow Hwy, Bridgman, MI 49106-9559 Ph: (269) 465-6050 |
Dr. Jonathan F Osburn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9625 Red Arrow Hwy, Bridgman, MI 49106 Phone: 269-465-6050 Fax: 269-465-3134 | |
Dr. James A Kroeze, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9625 Red Arrow Hwy, Bridgman, MI 49106 Phone: 269-465-6050 Fax: 269-465-3134 | |
Kenneth Mays, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4299 Lake Street, Bridgman, MI 49106 Phone: 269-465-6221 Fax: 269-465-6299 |