Kevin P Bolan, RPA C is a medicare enrolled "Physician Assistant" in Newcomb, New York. He graduated from nursing school in 1983 and has 42 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
4 Santanoni Drive, Newcomb, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 582-2991.
Kevin P Bolan is licensed to practice in New York (license number 0022961) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952471187.
Provider's Profile
| Full Name | Kevin P Bolan |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 42 Years |
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| Location | 4 Santanoni Drive, Newcomb, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin P Bolan graduated from nursing school in 1983
NPI Data:
- NPI Number: 1952471187
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 0143248088
- Enrollment ID: I20051109000231
Medical Identifiers
Medical identifiers for Kevin P Bolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952471187 | NPI | - | NPPES |
| 01110874 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0022961 (New York) | Primary |
Medical Facilities Affiliation
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. Kevin P Bolan 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 |
|---|
Kevin P Bolan, RPA C
4 Santanoni Drive,
Newcomb, NY 12852-1913
Ph: (518) 582-2991 | Kevin P Bolan, RPA C
4 Santanoni Drive,
Newcomb, NY 12852
Ph: (518) 582-2991 |
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