Emily Ann Bolender, MD is a medicare enrolled "Pediatrics" physician in Coweta, Oklahoma. Her current practice location is
30011 E State Highway 51, Coweta, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 486-2161.
Emily Ann Bolender is licensed to practice in Oklahoma (license number 36039) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861012247.
Physician's Profile
| Full Name | Emily Ann Bolender |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 30011 E State Highway 51, Coweta, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861012247
- Provider Enumeration Date: 04/25/2020
- Last Update Date: 06/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 8123489135
- Enrollment ID: I20230807001390
Medical Identifiers
Medical identifiers for Emily Ann Bolender such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861012247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 36039 (Oklahoma) | 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. Emily Ann Bolender allows following entities to bill medicare on her behalf.
| Entity Name | Morton Comprehensive Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275528085 PECOS PAC ID: 1951297621 Enrollment ID: O20040227000659 |
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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. Emily Ann Bolender 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 |
Emily Ann Bolender, MD 6600 S Yale Ave Ste 1200, Tulsa, OK 74136-3361 Ph: () - | Emily Ann Bolender, MD 30011 E State Highway 51, Coweta, OK 74429-7681 Ph: (918) 486-2161 |
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