Evan Callos Boncolmo, RN - Registered Nurse in Glendive, MT

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Evan Callos Boncolmo, RN is a Registered Nurse based in Glendive, Montana. Evan Callos Boncolmo is licensed to practice in California (license number 95312691) and his current practice location is 806 N Kendrick Ave, Glendive, Montana. He can be reached at his office (for appointments etc.) via phone at (161) 575-3110.

NPI number for Evan Callos Boncolmo is 1699590828 and his current mailing address is 806 N Kendrick Ave, Glendive, Montana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699590828.

Contact Information

Evan Callos Boncolmo, RN
806 N Kendrick Ave,
Glendive, MT 59330-1819
(161) 575-3110
Not Available

Map and Direction




Provider's Profile

Full NameEvan Callos Boncolmo
GenderMale
SpecialityRegistered Nurse
Location806 N Kendrick Ave, Glendive, Montana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699590828
  • Provider Enumeration Date: 11/21/2024
  • Last Update Date: 11/21/2024

Medical Identifiers

Medical identifiers for Evan Callos Boncolmo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699590828NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95312691 (California)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. Evan Callos Boncolmo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evan Callos Boncolmo, RN
806 N Kendrick Ave,
Glendive, MT 59330-1819

Ph: (615) 753-1107		Evan Callos Boncolmo, RN
806 N Kendrick Ave,
Glendive, MT 59330-1819

Ph: (161) 575-3110

Reviews and Comments


Registered Nurse Nurses in Glendive, MT

Amanda Torgerson, FNP
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 202 Prospect Dr, Glendive, MT 59330
Phone: 406-345-3306    Fax: 406-345-3312
Nicolette Perrin, PMHNP-BC
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 107 Dilworth St, Glendive, MT 59330
Phone: 701-215-1733    

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.