Dr John J Bollig, MD is a medicare enrolled "Family Medicine" physician in Goode, Virginia. He went to Oregon Health Sciences University School Of Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Kingsford Emergency Group, Llc and his current practice location is
1509 Heathwood Dr, Goode, Virginia. You can reach out to his office (for appointments etc.) via phone at
(618) 521-5711.
Dr John J Bollig is licensed to practice in Virginia (license number 0101259534) 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 1720031487.
Physician's Profile
| Full Name | Dr John J Bollig |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 27 Years |
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| Location | 1509 Heathwood Dr, Goode, Virginia |
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| 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:
- Dr John J Bollig attended and graduated from Oregon Health Sciences University School Of Medicine in 1998
NPI Data:
- NPI Number: 1720031487
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 12/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153379474
- Enrollment ID: I20160630001397
Medical Identifiers
Medical identifiers for Dr John J Bollig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720031487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 0101259534 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 0101259534 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Kingsford Emergency Group, Llc | 3870841117 | 9 |
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 John J Bollig allows following entities to bill medicare on his behalf.
| Entity Name | Privia Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
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| Entity Name | Ingleside Emergency Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144712662 PECOS PAC ID: 1355698317 Enrollment ID: O20180720002968 |
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| Entity Name | Kingsford Emergency Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336631480 PECOS PAC ID: 3870841117 Enrollment ID: O20180802003435 |
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| Entity Name | Kingsford Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871088526 PECOS PAC ID: 0840541017 Enrollment ID: O20180927000385 |
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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 John J Bollig 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 John J Bollig, MD 1509 Heathwood Dr, Goode, VA 24556-2678 Ph: (618) 521-5711 | Dr John J Bollig, MD 1509 Heathwood Dr, Goode, VA 24556-2678 Ph: (618) 521-5711 |
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