Derek Bolt, DO in Tahlequah, OK - Medicare Emergency Medicine

Derek Bolt, DO is a medicare enrolled "Emergency Medicine" physician in Tahlequah, Oklahoma. 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 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 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	Emergency Medicine
Location	100 S Bliss Ave, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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: I20170922003310

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

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	Hospital Care Consultants Region Ii Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558491449 PECOS PAC ID: 8820197064 Enrollment ID: O20070727000300

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: 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. Kimberly Jane Collins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15100 N 593 Rd, Tahlequah, OK 74464 Phone: 918-822-3302
Dr. Nanetta Bonita Lowe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100
Stephn Drywater, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100

Derek Bolt, DO - Medicare Emergency Medicine in Tahlequah, OK