Mrs Carol Ann Bolt, PA is a medicare enrolled "Physician Assistant" in Blaine, Washington. She graduated from nursing school in 1997 and has 28 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Memorial Hospital, Valley View Hospital Association and her current practice location is
4519 Grandview Rd, Blaine, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 371-1307.
Mrs Carol Ann Bolt is licensed to practice in Colorado (license number PA0004322) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265468425.
Provider's Profile
| Full Name | Mrs Carol Ann Bolt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 28 Years |
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| Location | 4519 Grandview Rd, Blaine, Washington |
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| Accepts Medicare Assignments | Yes. She 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:
- Mrs Carol Ann Bolt graduated from nursing school in 1997
NPI Data:
- NPI Number: 1265468425
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 12/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527027804
- Enrollment ID: I20160217001406
Medical Identifiers
Medical identifiers for Mrs Carol Ann Bolt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265468425 | NPI | - | NPPES |
| 98700057 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 000102439 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | PA0004322 (Colorado) | Primary |
| 363A00000X | Physician Assistant | 61678220 (Washington) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Memorial Hospital | 1254231533 | 39 |
| Valley View Hospital Association | 1850294778 | 173 |
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. Mrs Carol Ann Bolt 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 |
|---|
Mrs Carol Ann Bolt, PA
750 Hospital Loop,
Craig, CO 81625-8750
Ph: (970) 824-9411 | Mrs Carol Ann Bolt, PA
4519 Grandview Rd,
Blaine, WA 98230-9640
Ph: (360) 371-1307 |
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