Derek Bolt, DO in Tahlequah, OK - Medicare Osteopathic Manipulative Medicine

Derek Bolt, DO is a medicare enrolled "Emergency Medicine" physician in Tahlequah, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. He is a member of the group practice Cherokee Nation and his current practice location is 100 S Bliss Ave, Tahlequah, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 458-3104.

Derek Bolt is licensed to practice in Oklahoma (license number 6143) 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 1881147882.

Contact Information

	Derek Bolt, DO
	100 S Bliss Ave, Tahlequah, OK 74464-2512
	(918) 458-3104
	Not Available

Map and Direction

Physician's Profile

Full Name	Derek Bolt
Gender	Male
Speciality	Osteopathic Manipulative Medicine
Experience	9 Years
Location	100 S Bliss Ave, Tahlequah, Oklahoma
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:

Derek Bolt attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2016

NPI Data:

NPI Number: 1881147882
Provider Enumeration Date: 07/27/2016
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 3072887447
Enrollment ID: I20171115002560

Medical Identifiers

Medical identifiers for Derek Bolt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881147882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	6143 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cherokee Nation W W Hastings Indian Hospital	Tahlequah, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cherokee Nation	5799698742	369

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. Derek Bolt allows following entities to bill medicare on his behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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. Derek Bolt 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
Derek Bolt, DO 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (405) 880-4596	Derek Bolt, DO 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3104

Reviews and Comments

Emergency Medicine Doctors in Tahlequah, OK

Stephan M Yost, PA-C Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641
Muhammad Ghias, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641
Chelsey Morgan Beathard, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100
Dr. William Jack Myers Jr., D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641
Brian William Duignan, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511
Dr. Jason Jasper Ballew, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641
Dr. Kimberly Jane Collins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15100 N 593 Rd, Tahlequah, OK 74464 Phone: 918-822-3302

Derek Bolt, DO - Medicare Osteopathic Manipulative Medicine in Tahlequah, OK