| John William Bolen Jr, MD | |
|
200 Hospital Dr, Galax, VA 24333-2227 | |
| (703) 236-8175 | |
| Not Available |
| Full Name | John William Bolen Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 200 Hospital Dr, Galax, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265404925 | NPI | - | NPPES |
| 007202865 | Medicaid | VA | |
| 300038351 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101040131 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Twin County Regional Hospital | Galax, VA | Hospital |
| Sovah Health Danville | Danville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Danville Physician Practices Llc | 4688606304 | 141 |
| Dlp Twin County Physician Practices Llc | 7214199512 | 76 |
| Entity Name | Danville Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629022868 PECOS PAC ID: 4688606304 Enrollment ID: O20051007000454 |
| Entity Name | Dlp Twin County Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962078527 PECOS PAC ID: 7214199512 Enrollment ID: O20120503000011 |
| Entity Name | Raleigh Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811920101 PECOS PAC ID: 6800874611 Enrollment ID: O20200923002288 |
| Mailing Address | Practice Location Address |
|---|---|
| John William Bolen Jr, MD 110 Valley St, Galax, VA 24333-2224 Ph: () - | John William Bolen Jr, MD 200 Hospital Dr, Galax, VA 24333-2227 Ph: (703) 236-8175 |
Landon Wellford Garland Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Department Of Radiology, Galax, VA 24333 Phone: 276-236-1680 |