Jeffrey Karl Bosold, APN - Medicare Nurse Practitioner in Russellville, AR

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Jeffrey Karl Bosold, APN is a medicare enrolled "Nurse Practitioner - Family" in Russellville, Arkansas. His current practice location is 3812 West Main, Russellville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 968-1245.

Jeffrey Karl Bosold is licensed to practice in Arkansas (license number A01909) 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 1396941522.

Contact Information

Jeffrey Karl Bosold, APN
3812 West Main,
Russellville, AR 72801
(479) 968-1245
(479) 968-4137

Map and Direction




Provider's Profile

Full NameJeffrey Karl Bosold
GenderMale
SpecialityNurse Practitioner - Family
Location3812 West Main, Russellville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396941522
  • Provider Enumeration Date: 06/25/2007
  • Last Update Date: 04/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6709011711
  • Enrollment ID: I20131029001424

Medical Identifiers

Medical identifiers for Jeffrey Karl Bosold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396941522NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner A001909 (Arkansas)Secondary
363LF0000XNurse Practitioner - Family A01909 (Arkansas)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. Jeffrey Karl Bosold allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050418001201
Entity NameSoutheastern Emergency Services P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669414264
PECOS PAC ID: 6204730195
Enrollment ID: O20070301000532
Entity NameMonfee Medical Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154350213
PECOS PAC ID: 4385723402
Enrollment ID: O20080430000739
Entity NameEast Arkansas Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932442985
PECOS PAC ID: 5698909067
Enrollment ID: O20131018000502
Entity NameArkansas Emergency Physician Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720529498
PECOS PAC ID: 7911284500
Enrollment ID: O20170509001162
Entity NameWestside Family Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801587779
PECOS PAC ID: 3476915372
Enrollment ID: O20230809001884

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. Jeffrey Karl Bosold 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
Jeffrey Karl Bosold, APN
Po Box 10185,
Russellville, AR 72812-0185

Ph: (479) 968-5748		Jeffrey Karl Bosold, APN
3812 West Main,
Russellville, AR 72801

Ph: (479) 968-1245

Reviews and Comments


Nurse Practitioner Nurses in Russellville, AR

Karen Michelle Branch, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2210 W Main St, Russellville, AR 72801
Phone: 479-968-8940    Fax: 479-968-8901
Ashley Mccoy, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 209 S Portland Ave, Russellville, AR 72801
Phone: 501-906-0000    
Mrs. Ashley Nichole Bennett, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1808 W Main St, Russellville, AR 72801
Phone: 479-968-2841    
Kristy Hogan, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 402 W O St, Dean Hall, Room 126, Russellville, AR 72801
Phone: 479-368-0329    
Ms. Candace Darlene Welcher, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 101 Skyline Dr, Russellville, AR 72801
Phone: 479-968-2345    Fax: 479-890-2467
Margaret Danielle Mullins-moats, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3812 W Main St., Russellville, AR 72801
Phone: 479-968-1245    
Lindsey Sharp,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1808 W Main St, Russellville, AR 72801
Phone: 479-964-2198    

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.