| Joshua Kyle Bolton, | |
|
3000 Coliseum Dr, Hampton, VA 23666-5963 | |
| (757) 599-4922 | |
| Not Available |
| Full Name | Joshua Kyle Bolton |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3000 Coliseum Dr, Hampton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689013260 | NPI | - | NPPES |
| 013228200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110-004270 (Virginia) | Primary |
| Entity Name | Southwest Florida Emergency Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588659502 PECOS PAC ID: 3870581432 Enrollment ID: O20040503001195 |
| Entity Name | Southwest Florida Emergency Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780911206 PECOS PAC ID: 0648314393 Enrollment ID: O20100218000201 |
| Entity Name | Thse - Marco Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801125331 PECOS PAC ID: 8921131475 Enrollment ID: O20100804000321 |
| Entity Name | Emergency Physicians of St Petersburg PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851726566 PECOS PAC ID: 1658433883 Enrollment ID: O20131018001465 |
| Entity Name | Shi Keys LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952903536 PECOS PAC ID: 2163835513 Enrollment ID: O20210105000345 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Kyle Bolton, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-3292 | Joshua Kyle Bolton, 3000 Coliseum Dr, Hampton, VA 23666-5963 Ph: (757) 599-4922 |
Shelby Rae Burton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr Ste 104, Hampton, VA 23666 Phone: 757-827-9400 |
Mr. Nelson Manuel Santana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr, Hampton, VA 23666 Phone: 757-736-1000 |
Mrs. Carla Groshel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr Ste 104, Hampton, VA 23666 Phone: 757-827-9400 Fax: 757-827-9320 |
Mr. Alan David Abrams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-728-7052 |
Josiah David Hilerio, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666 Phone: 757-599-6333 Fax: 757-591-7261 |
Carissa Lynn Pardekooper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2240 Coliseum Dr Ste D, Hampton, VA 23666 Phone: 888-321-7170 |
Alyssa Dutkiewicz, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 577-764-1688 |