Scott M Bolton, MD in Wilmette, IL

Scott M Bolton, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Wilmette, Illinois. His current practice location is 3232 Lake Ave Ste 330, Wilmette, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-1795.

Scott M Bolton is licensed to practice in Illinois (license number 036173195) 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 1831489996.

Contact Information

	Scott M Bolton, MD
	3232 Lake Ave Ste 330, Wilmette, IL 60091-1085
	(847) 570-1795
	(847) 503-4590

Map and Direction

Physician's Profile

Full Name	Scott M Bolton
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	3232 Lake Ave Ste 330, Wilmette, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831489996
Provider Enumeration Date: 04/11/2011
Last Update Date: 07/21/2025

Medicare PECOS Information:

PECOS PAC ID: 3971720566
Enrollment ID: I20180703003101

Medical Identifiers

Medical identifiers for Scott M Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831489996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036137475 (Illinois)	Secondary
208000000X	Pediatrics	35.123879 (Ohio)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	35.123879 (Ohio)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	036173195 (Illinois)	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. Scott M Bolton allows following entities to bill medicare on his behalf.

Entity Name	Children's Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035

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. Scott M Bolton 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
Scott M Bolton, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: () -	Scott M Bolton, MD 3232 Lake Ave Ste 330, Wilmette, IL 60091-1085 Ph: (847) 570-1795

Reviews and Comments

Pediatrics Doctors in Wilmette, IL

Dr. Jacqueline Delia Welter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3232 Lake Ave Ste 330, Wilmette, IL 60091 Phone: 224-266-9410
Leslie Deitch Noble, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1515 Sheridan Rd, Suite 31a, Wilmette, IL 60091 Phone: 847-920-2200 Fax: 847-920-2201
Helen Elizabeth Mulcahy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3232 Lake Ave Ste 330, Wilmette, IL 60091 Phone: 224-226-9420 Fax: 847-256-2140
Dr. Gail Joyce Shorr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 Central Ave, Suite H, Wilmette, IL 60091 Phone: 847-256-6480 Fax: 847-256-6482
Patricia Ann Brunner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 Central Ave, Suite H, Wilmette, IL 60091 Phone: 847-256-6480 Fax: 847-256-6482
Dr. Lindsay Wegg Uzunlar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1515 Sheridan Rd, Ste 31a, Wilmette, IL 60091 Phone: 847-920-2200
Shoshana Elkin Waskow, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1144 Wilmette Ave, Wilmette, IL 60091 Phone: 847-256-6480 Fax: 847-256-6482

Scott M Bolton, MD - Medicare Pediatrics in Wilmette, IL