| Meredith Storm Bolt, PA | |
|
2701 N Rockwell Ave, Bethany, OK 73008-5246 | |
| (405) 789-4150 | |
| Not Available |
| Full Name | Meredith Storm Bolt |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 2701 N Rockwell Ave, Bethany, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356886584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2714 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Ou Health University Of Oklahoma Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 645 |
| Optimal Health Associates Llc | 0446602536 | 12 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Entity Name | Optimal Health Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881478303 PECOS PAC ID: 0446602536 Enrollment ID: O20240112003956 |
| Mailing Address | Practice Location Address |
|---|---|
| Meredith Storm Bolt, PA 2701 N Rockwell Ave, Bethany, OK 73008-5246 Ph: (405) 789-4150 | Meredith Storm Bolt, PA 2701 N Rockwell Ave, Bethany, OK 73008-5246 Ph: (405) 789-4150 |
Matthew Cade Bross, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 Fax: 405-349-5145 |
Elizabeth Bross, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 Fax: 405-349-5145 |
Isabella Rene Starchman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 |
Mrs. Lyubov Lynn Speegle, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4107 N Council Rd, Bethany, OK 73008 Phone: 405-889-6366 |
Mrs. Lauren Wilson, MMS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6729 Nw 39th Expy, Bethany, OK 73008 Phone: 405-491-8252 |
Mrs. Anita L Tanner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6820 Nw 23rd St, Bethany, OK 73008 Phone: 405-495-0070 Fax: 405-787-0062 |
Alfred Marion Beasler Iii, MHS PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4802 N College Ave, Bethany, OK 73008 Phone: 918-645-3747 |