Betsy Jo Bolton, PA-C - Medicare Physician Assistant in Clive, IA

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Betsy Jo Bolton, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Clive, Iowa. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Knoxville Community Hospital Inc, Capital Orthopaedics And Sports Medicine Pc, Broadlawns Medical Center and her current practice location is 12499 University Ave Ste 210, Clive, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 440-2676.

Betsy Jo Bolton is licensed to practice in Iowa (license number 002351) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144574997.

Contact Information

Betsy Jo Bolton, PA-C
12499 University Ave Ste 210,
Clive, IA 50325-8288
(515) 440-2676
(515) 440-2677

Map and Direction




Provider's Profile

Full NameBetsy Jo Bolton
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location12499 University Ave Ste 210, Clive, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Betsy Jo Bolton graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1144574997
  • Provider Enumeration Date: 11/01/2012
  • Last Update Date: 06/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567616550
  • Enrollment ID: I20130128000426

Medical Identifiers

Medical identifiers for Betsy Jo Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144574997NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 002351 (Iowa)Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363AS0400XPhysician Assistant - Surgical 002351 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Knoxville Hospital & ClinicsKnoxville, IAHospital
Mercyone Des Moines Medical CenterDes moines, IAHospital
Broadlawns Medical CenterDes moines, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Knoxville Community Hospital Inc660878705634
Capital Orthopaedics And Sports Medicine Pc347669155119
Broadlawns Medical Center3678466166302

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. Betsy Jo Bolton allows following entities to bill medicare on her behalf.
Entity NameKnoxville Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770591661
PECOS PAC ID: 6608787056
Enrollment ID: O20031119000804
Entity NameBroadlawns Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467447508
PECOS PAC ID: 3678466166
Enrollment ID: O20040206000913
Entity NameBoone County Comprehensive Specialty Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316982200
PECOS PAC ID: 8022012293
Enrollment ID: O20060830000218
Entity NameKnoxville Community Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1922087915
PECOS PAC ID: 6608787056
Enrollment ID: O20061104000267
Entity NameBoone County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1467434225
PECOS PAC ID: 7416840335
Enrollment ID: O20061104000517
Entity NameCapital Orthopaedics and Sports Medicine PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932432457
PECOS PAC ID: 3476691551
Enrollment ID: O20091110000451
Entity NameCentral States Medicine PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144646787
PECOS PAC ID: 3173746435
Enrollment ID: O20140514001707
Entity NameCosm LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972384519
PECOS PAC ID: 3971076050
Enrollment ID: O20260622001456

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. Betsy Jo 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 AddressPractice Location Address
Betsy Jo Bolton, PA-C
2425 Westown Pkwy Ste 100,
West Des Moines, IA 50266-1425

Ph: (515) 267-1819		Betsy Jo Bolton, PA-C
12499 University Ave Ste 210,
Clive, IA 50325-8288

Ph: (515) 440-2676

Reviews and Comments


Physician Assistant Nurses in Clive, IA

Kelly Marie Thomason, MSPA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 12327 Stratford Dr, Clive, IA 50325
Phone: 515-224-7088    Fax: 515-224-9228
Kate Pithan, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 12493 University Ave Ste 110, Clive, IA 50325
Phone: 515-358-9400    Fax: 515-358-9420
Maggie Gebauer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Nw 114th St Ste 342, Clive, IA 50325
Phone: 515-222-7600    Fax: 515-222-7601
Michon Dianne Leddy, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2480 Berkshire Pkwy, Clive, IA 50325
Phone: 515-225-2578    Fax: 515-225-2598
Gloria J Thielking, MPAS
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 12327 Stratford Dr, Clive, IA 50325
Phone: 515-224-7088    Fax: 515-224-9228
Austin Lee Schmidt,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1275 Nw 128th St Ste 200, Clive, IA 50325
Phone: 515-224-3948    
Erica Tucker, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12499 University Ave Ste 210, Clive, IA 50325
Phone: 515-440-2676    Fax: 515-440-2677

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.