| Kelle Danielle Bolden, MD | |
|
11 Atrium Ridge Ct, Columbia, SC 29223-6438 | |
| (803) 699-9992 | |
| (803) 865-7429 |
| Full Name | Kelle Danielle Bolden |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 11 Atrium Ridge Ct, Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629098918 | NPI | - | NPPES |
| 292098 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29209 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Home Care Services | Newport news, VA | Home health agency |
| Sentara Careplex Hospital | Hampton, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sentara Medical Group | 8921903923 | 1200 |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelle Danielle Bolden, MD Po Box 402145, Atlanta, GA 30384-2145 Ph: (803) 296-7305 | Kelle Danielle Bolden, MD 11 Atrium Ridge Ct, Columbia, SC 29223-6438 Ph: (803) 699-9992 |
William Cole Andrew, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-8721 | |
Seetharamprasad Madala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 Fax: 803-434-4160 | |
Michael Martin, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd, Columbia, SC 29203 Phone: 803-434-6956 | |
Dr. Terry A Grainger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-744-2759 | |
Dr. Adelero Olayinka Adebajo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Laurel St, Columbia, SC 29201 Phone: 803-799-8407 Fax: 803-252-9070 | |
James Pratt Iii, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 | |
Jeff Z Brooker Jr., MD, RETIRED Internal Medicine Medicare: Medicare Enrolled Practice Location: 1625 Bernardin Ave, Columbia, SC 29204 Phone: 803-251-8985 |