| Micheal E Boles, PHD APRN BC | |
|
Po Box 388, Celina, TN 38551-0388 | |
| (931) 243-3860 | |
| (931) 243-4607 |
| Full Name | Micheal E Boles |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 31 Years |
| Location | Po Box 388, Celina, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033216569 | NPI | - | NPPES |
| 4343158 | Other | TN | BCTN |
| 1511326 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN6428 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Livingston, TN | Home health agency |
| Livingston Regional Hospital | Livingston, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amg-livingston Llc | 1052225760 | 18 |
| Entity Name | Amg-livingston Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869297 PECOS PAC ID: 1052225760 Enrollment ID: O20031120000923 |
| Entity Name | Crmc Mso Sub 1 Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972648319 PECOS PAC ID: 1052332830 Enrollment ID: O20051208000043 |
| Entity Name | App Of Tennessee Hm, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Mailing Address | Practice Location Address |
|---|---|
| Micheal E Boles, PHD APRN BC Po Box 427, Celina, TN 38551-0427 Ph: (931) 243-3860 | Micheal E Boles, PHD APRN BC Po Box 388, Celina, TN 38551-0388 Ph: (931) 243-3860 |
Gabriel Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Guffey St, Celina, TN 38551 Phone: 931-243-2651 | |
Mr. Ronnie Raines, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Old Jefferson Street, Celina, TN 38551 Phone: 931-243-3581 | |
Greda Cherry, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Doctors Dr, Celina, TN 38551 Phone: 931-243-3860 Fax: 931-243-4607 |