Angela Bolen, FNP-C in Jackson, AL - Medicare Nurse Practitioner

Angela Bolen, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Alabama. Her current practice location is 220 Hospital Dr, Jackson, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 246-9021.

Angela Bolen is licensed to practice in Alabama (license number 1-102373) 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 1154160406.

Contact Information

	Angela Bolen, FNP-C
	220 Hospital Dr, Jackson, AL 36545-2459
	(251) 246-9021
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela Bolen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	220 Hospital Dr, Jackson, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154160406
Provider Enumeration Date: 05/24/2024
Last Update Date: 03/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9133643901
Enrollment ID: I20250414002437

Medical Identifiers

Medical identifiers for Angela Bolen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154160406	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-102373 (Alabama)	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. Angela Bolen allows following entities to bill medicare on her behalf.

Entity Name	City Of Jackson Healthcare Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952427874 PECOS PAC ID: 2062950199 Enrollment ID: O20250410002540

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. Angela Bolen 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
Angela Bolen, FNP-C 220 Hospital Dr, Jackson, AL 36545-2459 Ph: (251) 246-9021	Angela Bolen, FNP-C 220 Hospital Dr, Jackson, AL 36545-2459 Ph: (251) 246-9021

Reviews and Comments

Nurse Practitioner Nurses in Jackson, AL

Ms. Rene Bontrager, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Hospital Dr, Jackson, AL 36545 Phone: 251-246-1210 Fax: 251-246-1219
Timothy H Mullinix, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 Hospital Dr, Jackson, AL 36545 Phone: 251-246-4446 Fax: 251-246-5111
Linda T Reynolds, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 227 Hospital Dr, Jackson, AL 36545 Phone: 251-246-4446 Fax: 251-246-5111
Shaqualyn Taite, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4005 N College Ave, Jackson, AL 36545 Phone: 251-744-6084
Jennifer Tolbert Dowling, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Hospital Dr, Jackson, AL 36545 Phone: 251-246-1203 Fax: 251-246-1180
Mrs. Jessie Louise Criswell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 Hospital Dr, Jackson, AL 36545 Phone: 251-246-4446 Fax: 251-246-5111

Angela Bolen, FNP-C - Medicare Nurse Practitioner in Jackson, AL