Mrs Jacqueline Bolmer, NP-C - Medicare Nurse Practitioner in Mount Orab, OH

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Mrs Jacqueline Bolmer, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Mount Orab, Ohio. Her current practice location is 210 Sterling Run Blvd, Mount Orab, Ohio. You can reach out to her office (for appointments etc.) via phone at (615) 425-4200.

Mrs Jacqueline Bolmer is licensed to practice in Ohio (license number COA.13279-NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619236908.

Contact Information

Mrs Jacqueline Bolmer, NP-C
210 Sterling Run Blvd,
Mount Orab, OH 45154-8350
(615) 425-4200
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jacqueline Bolmer
GenderFemale
SpecialityNurse Practitioner - Family
Location210 Sterling Run Blvd, Mount Orab, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619236908
  • Provider Enumeration Date: 05/08/2012
  • Last Update Date: 05/08/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1456514538
  • Enrollment ID: I20120530000340

Medical Identifiers

Medical identifiers for Mrs Jacqueline Bolmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619236908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family COA.13279-NP (Ohio)Primary

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. Mrs Jacqueline Bolmer allows following entities to bill medicare on her behalf.
Entity NameThe Little Clinic of Ohio LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982761896
PECOS PAC ID: 7719087584
Enrollment ID: O20070709000336
Entity NameMolina Care Connections, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180220001792

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 Jacqueline Bolmer 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 AddressPractice Location Address
Mrs Jacqueline Bolmer, NP-C
2620 Elm Hill Pike,
Nashville, TN 37214-3108

Ph: (615) 425-4200		Mrs Jacqueline Bolmer, NP-C
210 Sterling Run Blvd,
Mount Orab, OH 45154-8350

Ph: (615) 425-4200

Reviews and Comments


Nurse Practitioner Nurses in Mount Orab, OH

Lacee Stephens, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 150 Health Partners Cir, Mount Orab, OH 45154
Phone: 937-444-2514    Fax: 937-444-4818
Rhonda Lynn Gibson, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 217 Hughes Blvd, Mount Orab, OH 45154
Phone: 937-386-6942    
Mr. Mitchell Smith Mcmanis, MSN, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 210 Sterling Run Blvd, Mount Orab, OH 45154
Phone: 937-444-6910    
Mrs. Tara Ross, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 292 Brooks Malott Rd, Mount Orab, OH 45154
Phone: 937-444-0035    
Lori Sue Wallace, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 150 Health Partners Cir, Mount Orab, OH 45154
Phone: 937-444-2514    Fax: 937-444-4818
Jamie Sue Jackson, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 150 Health Partners Cir, Mount Orab, OH 45154
Phone: 513-576-7700    Fax: 513-576-1020
Catherine D Carnahan, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 621 W Main St, Mount Orab, OH 45154
Phone: 937-444-0952    Fax: 937-444-0953

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.