| Nathan Bolton, | |
|
103 Bennett Rd, Oliver Springs, TN 37840-5008 | |
| (865) 435-1933 | |
| Not Available |
| Full Name | Nathan Bolton |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 103 Bennett Rd, Oliver Springs, Tennessee |
| 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 |
|---|---|---|---|
| 1376170514 | NPI | - | NPPES |
| Q058332 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 64355 (Tennessee) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Oak Ridge | Oak ridge, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Group Inc | 2860305463 | 301 |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Bolton, 103 Bennett Rd, Oliver Springs, TN 37840-5008 Ph: (865) 435-1933 | Nathan Bolton, 103 Bennett Rd, Oliver Springs, TN 37840-5008 Ph: (865) 435-1933 |
Dr. Tersa L Lively, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 Main St Ste 2, Oliver Springs, TN 37840 Phone: 865-280-1466 Fax: 865-280-1469 | |
Dr. William B Bingham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Bennett Rd, Oliver Springs, TN 37840 Phone: 865-435-1933 Fax: 865-435-9316 | |
Carrie King White, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 1030 Winter Gap Rd, Oliver Springs, TN 37840 Phone: 865-435-3918 Fax: 865-435-3920 |