Kevin P Bolan, RPA C - Medicare Physician Assistant in Newcomb, NY

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Kevin P Bolan, RPA C is a medicare enrolled "Physician Assistant" in Newcomb, New York. He graduated from nursing school in 1983 and has 43 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.

Contact Information

Kevin P Bolan, RPA C
4 Santanoni Drive,
Newcomb, NY 12852
(518) 582-2991
(518) 582-2040

Map and Direction




Provider's Profile

Full NameKevin P Bolan
GenderMale
SpecialityPhysician Assistant
Experience43 Years
Location4 Santanoni Drive, Newcomb, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1952471187NPI-NPPES
01110874MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0022961 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adirondack Medical Center - Saranac LakeSaranac lake, NYHospital
Glens Falls HospitalGlens falls, NYHospital

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. Kevin P Bolan allows following entities to bill medicare on his behalf.
Entity NameRussell E Rider
Entity TypePractitioner - Family Practice
Entity IdentifiersNPI Number: 1245244649
PECOS PAC ID: 3476583857
Enrollment ID: I20050825000599
Entity NameAdirondack Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245446533
PECOS PAC ID: 9638081284
Enrollment ID: O20031103000224

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 AddressPractice 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

Reviews and Comments


Physician Assistant Nurses in Newcomb, NY

Denise M Bolan, RPA C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4 Santanoni Dr, Newcomb, NY 12852
Phone: 518-582-2991    Fax: 518-582-2040
Megan Amber Rozell, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4 Santanoni Dr, Newcomb, NY 12852
Phone: 518-582-2991    

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.