Jennifer Chism Bolen, FNP-C - Medicare Nurse Practitioner in Ecru, MS

  1. Home
  2. Nurse Practitioner
  3. MS
  4. Ecru
Jennifer Chism Bolen, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ecru, Mississippi. Her current practice location is 5482 Ms-15, Ecru, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 488-8799.

Jennifer Chism Bolen is licensed to practice in Mississippi (license number F08191029) 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 1639720550.

Contact Information

Jennifer Chism Bolen, FNP-C
5482 Ms-15,
Ecru, MS 38841
(662) 488-8799
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Chism Bolen
GenderFemale
SpecialityNurse Practitioner - Family
Location5482 Ms-15, Ecru, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639720550
  • Provider Enumeration Date: 09/23/2019
  • Last Update Date: 09/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2466888318
  • Enrollment ID: I20200212001962

Medical Identifiers

Medical identifiers for Jennifer Chism Bolen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639720550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F08191029 (Mississippi)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. Jennifer Chism Bolen allows following entities to bill medicare on her behalf.
Entity NameExpress Care Of Cleveland, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780151381
PECOS PAC ID: 0547502387
Enrollment ID: O20190429000343
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210323002802

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. Jennifer Chism 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 AddressPractice Location Address
Jennifer Chism Bolen, FNP-C
5482 Ms-15,
Ecru, MS 38841

Ph: (662) 488-8799		Jennifer Chism Bolen, FNP-C
5482 Ms-15,
Ecru, MS 38841

Ph: (662) 488-8799

Reviews and Comments


Nurse Practitioner Nurses in Ecru, MS

Tracey Michelle Foreman, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5482 Highway 15 N, Ecru, MS 38841
Phone: 662-488-8799    
Allison Miller Bailey, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7618 Hwy 15 North, Ecru, MS 38841
Phone: 662-489-6522    Fax: 662-234-4749
Dalyn Reynolds, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 392 Main St, Ecru, MS 38841
Phone: 662-573-4800    
Sabrina Davidson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5482 Highway 15 N, Ecru, MS 38841
Phone: 662-488-8799    Fax: 662-488-8729
Megan Springer Howell, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5482 Ms-15, Ecru, MS 38841
Phone: 662-488-8799    
Paige Sparks,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5482 Ms-15, Ecru, MS 38841
Phone: 662-488-8799    

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.