Kyle Alexander Bolo, in Los Angeles, CA

Kyle Alexander Bolo, is a medicare enrolled "Ophthalmology" physician in Los Angeles, California. His current practice location is 1450 San Pablo St Fl 4, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-6335.

Kyle Alexander Bolo is licensed to practice in California (license number 181420) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154984417.

Contact Information

	Kyle Alexander Bolo,
	1450 San Pablo St Fl 4, Los Angeles, CA 90033-5331
	(323) 442-6335
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyle Alexander Bolo
Gender	Male
Speciality	Ophthalmology
Location	1450 San Pablo St Fl 4, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154984417
Provider Enumeration Date: 04/22/2019
Last Update Date: 05/19/2025

Medicare PECOS Information:

PECOS PAC ID: 2466858196
Enrollment ID: I20230703002199

Medical Identifiers

Medical identifiers for Kyle Alexander Bolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154984417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	181420 (California)	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. Kyle Alexander Bolo allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699877621 PECOS PAC ID: 3577476761 Enrollment ID: O20040219000974

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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. Kyle Alexander Bolo 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
Kyle Alexander Bolo, 1450 San Pablo St Fl 4, Los Angeles, CA 90033-5331 Ph: () -	Kyle Alexander Bolo, 1450 San Pablo St Fl 4, Los Angeles, CA 90033-5331 Ph: (323) 442-6335

Reviews and Comments

Ophthalmology Doctors in Los Angeles, CA

Victoria Li-ting Tseng, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 200 Stein Plaza #1-340, Los Angeles, CA 90095 Phone: 310-825-5000
Peter Dentone, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 200 Stein Plaza #1-340, Los Angeles, CA 90095 Phone: 310-825-5000
Michael Myung-sup Han, Ophthalmology Medicare: Medicare Enrolled Practice Location: 1450 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-6335 Fax: 714-456-8874
Kristin Elizabeth Nesburn, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd Street, #390w, Los Angeles, CA 90048 Phone: 310-652-1133 Fax: 310-652-4353
Dr. Stanley S. Kim, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3663 W 6th St, Suite #200, Los Angeles, CA 90020 Phone: 213-385-8500 Fax: 213-385-4896
Homayoun Tabandeh, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1245 Wilshire Blvd, 380, Los Angeles, CA 90017 Phone: 213-483-8810 Fax: 213-481-1503
Arnold Barron, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011

Kyle Alexander Bolo, - Medicare Ophthalmology in Los Angeles, CA