| Mrs Candice M Bolling, PA-C | |
|
16431 Wise St, Saint Paul, VA 24283-3537 | |
| (276) 762-2300 | |
| (276) 762-0612 |
| Full Name | Mrs Candice M Bolling |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 16431 Wise St, Saint Paul, Virginia |
| 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 |
|---|---|---|---|
| 1477736684 | NPI | - | NPPES |
| 1477736684 | Medicaid | VA | |
| P01376909 | Other | VA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002673 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Nursing Company Inc | Lebanon, VA | Home health agency |
| Amedisys Home Health Care | Abingdon, VA | Home health agency |
| Russell County Hospital | Lebanon, VA | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Lonesome Pine Hospital | Big stone gap, VA | Hospital |
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain States Health Alliance | 6002726718 | 22 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Candice M Bolling, PA-C 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Mrs Candice M Bolling, PA-C 16431 Wise St, Saint Paul, VA 24283-3537 Ph: (276) 762-2300 |