| Dr Douglas Bolda, MD | |
|
1263 Hospital Dr Nw Ste 105, Corydon, IN 47112-2173 | |
| (812) 738-4251 | |
| Not Available |
| Full Name | Dr Douglas Bolda |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1263 Hospital Dr Nw Ste 105, Corydon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174519458 | NPI | - | NPPES |
| 200804530 | Medicaid | IN | |
| 1174519458 | Medicaid | WI | |
| 000000391438 | Other | IN | ANTHEM, BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 77087 (Wisconsin) | Secondary |
| 207X00000X | Orthopaedic Surgery | 01048624A (Indiana) | Primary |
| Entity Name | Harrison County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790892727 PECOS PAC ID: 9032007208 Enrollment ID: O20040406000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Bolda, MD Po Box 38, Corydon, IN 47112-0038 Ph: (812) 738-4251 | Dr Douglas Bolda, MD 1263 Hospital Dr Nw Ste 105, Corydon, IN 47112-2173 Ph: (812) 738-4251 |
Dr. Kevin Andrew Kline, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1263 Hospital Dr Nw, Suite 105, Corydon, IN 47112 Phone: 812-734-3800 Fax: 812-734-3108 | |
Mr. Kenneth J Renner, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1263 Hospital Dr Nw, Suite 105, Corydon, IN 47112 Phone: 812-734-3800 Fax: 812-734-3801 |