James Bold, PA is a medicare enrolled "Physician Assistant - Medical" in Mammoth Lakesa, California. His current practice location is
85 Sierra Park Rd, Mammoth Lakesa, California. You can reach out to his office (for appointments etc.) via phone at
(760) 924-4084.
James Bold is licensed to practice in California (license number PA15845) 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 1659427292.
Provider's Profile
Full Name | James Bold |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 85 Sierra Park Rd, Mammoth Lakesa, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659427292
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183880362
- Enrollment ID: I20120717000427
Medical Identifiers
Medical identifiers for James Bold such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659427292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA15845 (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. James Bold 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 |
James Bold, PA Po Box 660, 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 Ph: (760) 924-4084 | James Bold, PA 85 Sierra Park Rd, Mammoth Lakesa, CA 93546-0660 Ph: (760) 924-4084 |
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