| Thomas Richard Bolt, MD | |
|
9313 Medical Plaza Drive, Ste 202, N Charleston, SC 29406 | |
| (843) 572-1200 | |
| (843) 553-0424 |
| Full Name | Thomas Richard Bolt |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 45 Years |
| Location | 9313 Medical Plaza Drive, N Charleston, South Carolina |
| 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 |
|---|---|---|---|
| 1639136377 | NPI | - | NPPES |
| 109910 | Medicaid | SC | |
| 080093457 | Other | SC | MEDICARE RAIL ROAD # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10991 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Homestead Hospice Of Charleston, Llc | Charleston, SC | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palmetto Primary Care Physicians Llc | 4880508068 | 124 |
| Entity Name | Palmetto Primary Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Richard Bolt, MD Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071 | Thomas Richard Bolt, MD 9313 Medical Plaza Drive, Ste 202, N Charleston, SC 29406 Ph: (843) 572-1200 |
Dr. Marion Leslie Cooper Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5133 Rivers Ave, N Charleston, SC 29406 Phone: 843-789-1786 | |
David Wayne Robinson Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5070 International Blvd Ste 131, N Charleston, SC 29418 Phone: 843-402-5053 Fax: 843-724-1325 | |
Dr. Thaddeus John Bell, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3951 W Montague Ave, N Charleston, SC 29418 Phone: 843-552-1574 Fax: 843-552-1575 | |
Dr. Johnny C Weeks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2075 Eagle Landing Blvd, N Charleston, SC 29406 Phone: 843-797-5747 Fax: 843-797-0857 | |
Dr. Leonard Walter Douglas Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9237 University Blvd, N Charleston, SC 29406 Phone: 843-577-5011 Fax: 843-863-0398 | |
Dr. Shannon M Conrad, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 5070 International Blvd Ste 131, N Charleston, SC 29418 Phone: 843-402-2995 Fax: 843-402-3495 |