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

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 30 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 NameDr Peter J Bolan
GenderMale
SpecialityThoracic Surgery
Experience30 Years
Location836 Prudential Drive, Ste 1804, Jacksonville, Florida
Accepts Medicare AssignmentsYes. 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: 10/02/2023
  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.
IdentifierTypeStateIssuer
1174502314NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) ME162343 (Florida)Primary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 40825 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Precise Home Care LlcJacksonville, FLHome health agency
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital
Flagler HospitalSaint augustine, FLHospital
Baptist Medical Center BeachesJacksonville beach, FLHospital
Baptist Medical Center - NassauFernandina beach, FLHospital
Medical Center, Navicent Health (the)Macon, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cardiothoracic And Vascular Surgical Associates Pa539572518886

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 NameCardiothoracic & Vascular Surgical Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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, Jacksonville, FL 32207
Phone: 904-202-7300    Fax: 904-202-7433
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. John Andrew Odell, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.