Yaolen Bolanos, MD in Pembroke Pines, FL - Medicare Internal Medicine

Yaolen Bolanos, MD is a medicare enrolled "Internal Medicine" physician in Pembroke Pines, Florida. Her current practice location is 12105 Taft St, Pembroke Pines, Florida. You can reach out to her office (for appointments etc.) via phone at (754) 232-1114.

Yaolen Bolanos is licensed to practice in Florida (license number ME104624) 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 1942402045.

Contact Information

	Yaolen Bolanos, MD
	12105 Taft St, Pembroke Pines, FL 33026-1957
	(754) 232-1114
	(954) 416-6283

Map and Direction

Physician's Profile

Full Name	Yaolen Bolanos
Gender	Female
Speciality	Internal Medicine
Location	12105 Taft St, Pembroke Pines, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942402045
Provider Enumeration Date: 06/01/2007
Last Update Date: 04/14/2025

Medicare PECOS Information:

PECOS PAC ID: 1850434788
Enrollment ID: I20100201000487

Medical Identifiers

Medical identifiers for Yaolen Bolanos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942402045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME104624 (Florida)	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. Yaolen Bolanos allows following entities to bill medicare on her behalf.

Entity Name	Sunsouth Health Centers South Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114585643 PECOS PAC ID: 2365888955 Enrollment ID: O20240305004496

Entity Name	Sunsouth St Jude Health Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548037807 PECOS PAC ID: 3779929831 Enrollment ID: O20240312000018

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. Yaolen Bolanos 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
Yaolen Bolanos, MD 13876 Nw 21st St, Pembroke Pines, FL 33028-2619 Ph: (954) 579-0587	Yaolen Bolanos, MD 12105 Taft St, Pembroke Pines, FL 33026-1957 Ph: (754) 232-1114

Reviews and Comments

Internal Medicine Doctors in Pembroke Pines, FL

Dr. Farhan Abid, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 N Flamingo Rd Ste 416, Pembroke Pines, FL 33028 Phone: 954-947-7545 Fax: 954-301-3770
Dr. Katherine A Kosche, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12251 Taft Street, Suite 401, Pembroke Pines, FL 33026 Phone: 954-433-5900 Fax: 954-447-1933
Alec Petersen, Internal Medicine Medicare: Medicare Enrolled Practice Location: 880 Sw 145th Ave Ste 202, Pembroke Pines, FL 33027 Phone: 615-275-6612
Dr. Patrina Conley-brown, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2329 Nw 189th Ave, Pembroke Pines, FL 33029 Phone: 954-435-3638
Dr. Eric M Rishe, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 12309 Pembroke Rd, Pembroke Pines, FL 33025 Phone: 917-570-6945 Fax: 954-432-6266
Arian Pupo Quintana, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9980 Pines Blvd, Pembroke Pines, FL 33024 Phone: 954-334-3151 Fax: 305-675-5719
Milton Gedallovich, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 603 N Flamingo Rd, Suite 258, Pembroke Pines, FL 33028 Phone: 954-430-2343 Fax: 954-433-3831

Yaolen Bolanos, MD - Medicare Internal Medicine in Pembroke Pines, FL