Mr Donald T Bobola, PMHCNS - BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Bristol, Rhode Island. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). He is a member of the group practice East Bay Community Action Program and his current practice location is
170 Bradford St, Bristol, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 396-9984.
Mr Donald T Bobola is licensed to practice in Massachusetts (license number RN208066) 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 1063628717.
Provider's Profile
| Full Name | Mr Donald T Bobola |
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| Gender | Male |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 17 Years |
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| Location | 170 Bradford St, Bristol, Rhode Island |
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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:
- Mr Donald T Bobola graduated from nursing school in 2007
NPI Data:
- NPI Number: 1063628717
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 09/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 7012070584
- Enrollment ID: I20110218000418
Medical Identifiers
Medical identifiers for Mr Donald T Bobola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063628717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | RN208066 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| East Bay Community Action Program | 1951298595 | 31 |
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. Mr Donald T Bobola allows following entities to bill medicare on his behalf.
| Entity Name | East Bay Community Action Program |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609925122
PECOS PAC ID: 1951298595
Enrollment ID: O20040301000102 |
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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. Mr Donald T Bobola 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 |
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Mr Donald T Bobola, PMHCNS - BC
279n Main St,
Fall River, MA 02720-2320
Ph: (508) 679-0033 | Mr Donald T Bobola, PMHCNS - BC
170 Bradford St,
Bristol, RI 02809-2367
Ph: (401) 396-9984 |
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