Dr Joann Modupe Bolude, MD - Medicare Pediatrics in Cotulla, TX

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Dr Joann Modupe Bolude, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Cotulla, Texas. Her current practice location is 105 S. Stewart, Cotulla, Texas. You can reach out to her office (for appointments etc.) via phone at (830) 879-3047.

Dr Joann Modupe Bolude is licensed to practice in Louisiana (license number 348591) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255666335.

Contact Information

Dr Joann Modupe Bolude, MD
105 S. Stewart,
Cotulla, TX 78014-7801
(830) 879-3047
(877) 992-0112

Map and Direction




Physician's Profile

Full NameDr Joann Modupe Bolude
GenderFemale
SpecialityPediatrics - Pediatric Hematology-oncology
Location105 S. Stewart, Cotulla, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255666335
  • Provider Enumeration Date: 10/07/2009
  • Last Update Date: 08/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8022399013
  • Enrollment ID: I20230725001290

Medical Identifiers

Medical identifiers for Dr Joann Modupe Bolude such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255666335NPI-NPPES
365574801MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine Q5763 (Texas)Secondary
208D00000XGeneral Practice Q5763 (Texas)Secondary
2080P0207XPediatrics - Pediatric Hematology-oncology 348591 (Louisiana)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. Dr Joann Modupe Bolude allows following entities to bill medicare on her behalf.
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644
Entity NameThe Unity Hospital Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760421713
PECOS PAC ID: 9436060969
Enrollment ID: O20031230000038
Entity NameWestern New York Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063790608
PECOS PAC ID: 3870767791
Enrollment ID: O20111110000598
Entity NamePlushcare Of California Inc A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811378987
PECOS PAC ID: 2365707163
Enrollment ID: O20220217000856

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. Dr Joann Modupe Bolude 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
Dr Joann Modupe Bolude, MD
105 S. Stewart,
Cotulla, TX 78014-1013

Ph: (830) 879-3047		Dr Joann Modupe Bolude, MD
105 S. Stewart,
Cotulla, TX 78014-7801

Ph: (830) 879-3047

Reviews and Comments


Pediatrics Doctors in Cotulla, TX


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.

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