Alonso Bolivar, PA-C in Dedham, MA - Medicare Physician Assistant

Alonso Bolivar, PA-C is a medicare enrolled "Physician Assistant" in Dedham, Massachusetts. His current practice location is 983 Boston-providence Turnpike, Dedham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 819-6400.

Alonso Bolivar is licensed to practice in Massachusetts (license number PA9018) 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 1649941709.

Contact Information

	Alonso Bolivar, PA-C
	983 Boston-providence Turnpike, Dedham, MA 02026
	(781) 819-6400
	Not Available

Map and Direction

Provider's Profile

Full Name	Alonso Bolivar
Gender	Male
Speciality	Physician Assistant
Location	983 Boston-providence Turnpike, Dedham, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649941709
Provider Enumeration Date: 09/27/2021
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9133598097
Enrollment ID: I20221215001747

Medical Identifiers

Medical identifiers for Alonso Bolivar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649941709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9018 (Massachusetts)	Primary

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. Alonso Bolivar 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
Alonso Bolivar, PA-C 360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801-7105 Ph: (603) 410-6700	Alonso Bolivar, PA-C 983 Boston-providence Turnpike, Dedham, MA 02026 Ph: (781) 819-6400

Reviews and Comments

Physician Assistant Nurses in Dedham, MA

Daniel Jooyeol Gold, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 983 Boston-providence Turnpike, Dedham, MA 02026 Phone: 781-819-6400
Dolores Marie Sula, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 29 Birch St, Dedham, MA 02026 Phone: 781-300-1173
Ms. Jacquelyn Elise Pennie, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 508-880-0012
Hayley Elisabeth Bukow, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 781-493-3700
Natalie Blevins Oswald, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 617-654-7111
Carson Wagor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 983 Boston-providence Turnpike, Dedham, MA 02026 Phone: 781-819-6400
Mrs. Tara Elizabeth Fein, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Lyons St, Dedham, MA 02026 Phone: 781-329-1400

Alonso Bolivar, PA-C - Medicare Physician Assistant in Dedham, MA