Dr Peter J Bolan, MD in Jacksonville, FL - Medicare Thoracic Surgery

Dr Peter J Bolan, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Jacksonville, Florida. He went to Rush Medical College Of Rush University and graduated in 1994 and has 31 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Cardiothoracic And Vascular Surgical Associates Pa and his current practice location is 836 Prudential Drive, Ste 1804, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 398-3888.

Dr Peter J Bolan is licensed to practice in Florida (license number ME162343) 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 1174502314.

Contact Information

	Dr Peter J Bolan, MD
	836 Prudential Drive, Ste 1804, Jacksonville, FL 32207-8345
	(904) 398-3888
	(904) 400-6675

Map and Direction

Physician's Profile

Full Name	Dr Peter J Bolan
Gender	Male
Speciality	Thoracic Surgery
Experience	31 Years
Location	836 Prudential Drive, Ste 1804, Jacksonville, Florida
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 Peter J Bolan attended and graduated from Rush Medical College Of Rush University in 1994

NPI Data:

NPI Number: 1174502314
Provider Enumeration Date: 01/16/2006
Last Update Date: 03/31/2025

Medicare PECOS Information:

PECOS PAC ID: 8426010356
Enrollment ID: I20230810000962

Medical Identifiers

Medical identifiers for Dr Peter J Bolan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174502314	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	40825 (Georgia)	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	ME162343 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Precise Home Care Llc	Jacksonville, FL	Home health agency
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital
Flagler Hospital	Saint augustine, FL	Hospital
Baptist Medical Center Beaches	Jacksonville beach, FL	Hospital
Baptist Medical Center - Nassau	Fernandina beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cardiothoracic And Vascular Surgical Associates Pa	5395725188	83

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 Peter J Bolan allows following entities to bill medicare on his behalf.

Entity Name	Cardiothoracic & Vascular Surgical Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851403125 PECOS PAC ID: 5395725188 Enrollment ID: O20040722000541

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 Peter J Bolan 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 Peter J Bolan, MD 836 Prudential Drive, Ste 1804, Jacksonville, FL 32207-8345 Ph: (904) 398-3888	Dr Peter J Bolan, MD 836 Prudential Drive, Ste 1804, Jacksonville, FL 32207-8345 Ph: (904) 398-3888

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Jacksonville, FL

Sara E Mendoza Crespo, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 841 Prudential Dr Ste 280, Jacksonville, FL 32207 Phone: 904-202-8290 Fax: 904-697-2062
Dr. Mark A Mostovych, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1824 King St, Ste 200, Jacksonville, FL 32204 Phone: 904-384-3343 Fax: 904-400-6671
Dr. Ian Andrew Makey, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-956-3212 Fax: 904-953-7368
Dr. Eric Lee Ceithaml, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 836 Prudential Dr Ste 802, Jacksonville, FL 32207 Phone: 904-202-8290 Fax: 904-202-8171
Erol Belli, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Joe B Putnam Jr., MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1301 Palm Ave Ste 600, Jacksonville, FL 32207 Phone: 904-202-7300 Fax: 904-202-2754
Kevin Landolfo, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Dr Peter J Bolan, MD - Medicare Thoracic Surgery in Jacksonville, FL