Jo Ann N Bolli, MD is a
Obstetrics & Gynecology - Gynecology physician based in Clinton, Kentucky. Jo Ann N Bolli is licensed to practice in Tennessee (license number 43737) and her current practice location is 308 S Washington St, Clinton, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 254-3021.
NPI number for Jo Ann N Bolli is 1134198526 and her current mailing address is 627 Asheville Hwy, Greeneville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134198526.
Physician's Profile
| Full Name | Jo Ann N Bolli |
|---|
| Gender | Female |
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| Speciality | Obstetrics & Gynecology - Gynecology |
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| Location | 308 S Washington St, Clinton, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134198526
- Provider Enumeration Date: 03/16/2006
- Last Update Date: 12/27/2016
Medical Identifiers
Medical identifiers for Jo Ann N Bolli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134198526 | NPI | - | NPPES |
| 4046827 | Medicaid | TN | |
| 4143318 | Other | TN | BCBS |
| 000000502868 | Other | KY | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 43737 (Tennessee) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 43737 (Tennessee) | Primary |
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. Jo Ann N Bolli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jo Ann N Bolli, MD
627 Asheville Hwy,
Greeneville, TN 37743-5401
Ph: (423) 626-1521 | Jo Ann N Bolli, MD
308 S Washington St,
Clinton, KY 42031-1340
Ph: (270) 254-3021 |
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