Dr Douglas Bolda, MD in Michigan City, IN - Medicare Orthopaedic Surgery

Dr Douglas Bolda, MD is a medicare enrolled "Orthopaedic Surgery" physician in Michigan City, Indiana. His current practice location is 3500 Franciscan Way, Michigan City, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 879-8511.

Dr Douglas Bolda is licensed to practice in Indiana (license number 01048624A) 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 1174519458.

Contact Information

	Dr Douglas Bolda, MD
	3500 Franciscan Way, Michigan City, IN 46360-0021
	(219) 879-8511
	(219) 933-2288

Map and Direction

Physician's Profile

Full Name	Dr Douglas Bolda
Gender	Male
Speciality	Orthopaedic Surgery
Location	3500 Franciscan Way, Michigan City, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174519458
Provider Enumeration Date: 09/22/2005
Last Update Date: 03/21/2023

Medicare PECOS Information:

PECOS PAC ID: 2961418512
Enrollment ID: I20060306000738

Medical Identifiers

Medical identifiers for Dr Douglas Bolda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174519458	NPI	-	NPPES
1174519458	Medicaid	WI
200804530	Medicaid	IN
000000391438	Other	IN	ANTHEM, BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	77087 (Wisconsin)	Secondary
207X00000X	Orthopaedic Surgery	01048624A (Indiana)	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. Dr Douglas Bolda allows following entities to bill medicare on his behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Dr Douglas Bolda 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
Dr Douglas Bolda, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Dr Douglas Bolda, MD 3500 Franciscan Way, Michigan City, IN 46360-0021 Ph: (219) 879-8511

Reviews and Comments

Orthopaedic Surgery Doctors in Michigan City, IN

Dr. Neel Pramod Jain, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave Ste 200, Michigan City, IN 46360 Phone: 219-861-8167 Fax: 219-872-8832
Stephen Burns, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-861-8161 Fax: 219-873-9504
Dr. Joel Charles Mcclurg, MD, PHD, FAAOS Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 108 Austin Ln, Michigan City, IN 46360 Phone: 607-438-8115
Bernardo Israel Yahuaca, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-861-8161 Fax: 219-873-9504
Thomas P Ryan, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1225 E Coolspring Ave, Suite D, Michigan City, IN 46360 Phone: 219-861-8161 Fax: 219-873-9504
William C Biehl Iii, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: Woodland Medical Pavilion, 8865 West 400 North, Suite 101, Michigan City, IN 46360 Phone: 219-872-2466 Fax: 219-872-2467

Dr Douglas Bolda, MD - Medicare Orthopaedic Surgery in Michigan City, IN