Jacob Allen Bolt, MD - Medicare Emergency Medicine in Fort Smith, AR

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Jacob Allen Bolt, MD is a medicare enrolled "Emergency Medicine" physician in Fort Smith, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Emergency Physicians Llc and his current practice location is 1001 Towson Ave, Fort Smith, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 441-5011.

Jacob Allen Bolt is licensed to practice in Arkansas (license number E-13356) 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 1174184931.

Contact Information

Jacob Allen Bolt, MD
1001 Towson Ave,
Fort Smith, AR 72901-4921
(479) 441-5011
(479) 441-4932

Map and Direction




Physician's Profile

Full NameJacob Allen Bolt
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location1001 Towson Ave, Fort Smith, Arkansas
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:
  • Jacob Allen Bolt attended and graduated from University Of Arkansas College Of Medicine in 2019
  NPI Data:
  • NPI Number: 1174184931
  • Provider Enumeration Date: 06/24/2019
  • Last Update Date: 12/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345630935
  • Enrollment ID: I20211214002990

Medical Identifiers

Medical identifiers for Jacob Allen Bolt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174184931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine E-13356 (Arkansas)Primary
207Q00000XFamily Medicine E-13356 (Arkansas)Secondary
207Q00000XFamily Medicine 2019022911 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health - Van BurenVan buren, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997627

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. Jacob Allen Bolt allows following entities to bill medicare on his behalf.
Entity NameMercy Hospital Ozark
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881642767
PECOS PAC ID: 3678467412
Enrollment ID: O20040211001144
Entity NameBaptist Medcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699868323
PECOS PAC ID: 5698667624
Enrollment ID: O20040325001348
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050418001201
Entity NameMercy Hospital Paris
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518915321
PECOS PAC ID: 0244135705
Enrollment ID: O20090402000673
Entity NameMercy Hospital Booneville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083004733
PECOS PAC ID: 1951530385
Enrollment ID: O20170203001490
Entity NameIes Arkansas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598488090
PECOS PAC ID: 6204207665
Enrollment ID: O20230123000050
Entity NameSpringdale Bentonville Hbp Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811762701
PECOS PAC ID: 1052759263
Enrollment ID: O20240408001674

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. Jacob Allen Bolt 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
Jacob Allen Bolt, MD
11001 Executive Center Dr Ste 200,
Little Rock, AR 72211-4393

Ph: (479) 441-5011		Jacob Allen Bolt, MD
1001 Towson Ave,
Fort Smith, AR 72901-4921

Ph: (479) 441-5011

Reviews and Comments


Emergency Medicine Doctors in Fort Smith, AR

Thomas Stephen Leitzsch, DO
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Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903
Phone: 479-314-6241    Fax: 479-452-0275
Dr. Bruce Leroy Crabtree, MD
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Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903
Phone: 479-314-6242    
James Cary Wilson, D.O.
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Practice Location: 7301 Rogers Ave., Emergency Department, Fort Smith, AR 72903
Phone: 479-484-6241    Fax: 479-484-6240
Mark Alan Horan, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1001 Towson Ave, Er Dept., Fort Smith, AR 72901
Phone: 479-441-5011    Fax: 405-749-4561
Andrew Bradley Starnes, MD, MPH
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Medicare: Accepting Medicare Assignments
Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903
Phone: 479-314-6000    
Dr. Dwight Joseph Johnson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6100 Massard Rd, Fort Smith, AR 72916
Phone: 479-709-7250    Fax: 479-709-7251
Eric Scott Sullivan, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Towson Ave, Fort Smith, AR 72901
Phone: 479-441-5011    Fax: 479-441-4932

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.