| Ms Claire Marie Bolan, NP | |
|
5 Grace Church St, Port Chester, NY 10573-4911 | |
| (914) 937-8899 | |
| (914) 941-8626 |
| Full Name | Ms Claire Marie Bolan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 5 Grace Church St, Port Chester, New York |
| 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 |
|---|---|---|---|
| 1053632968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F336287-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Open Door Family Medical Center Inc | 7113835380 | 54 |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
| Entity Name | Open Door Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285893719 PECOS PAC ID: 7113835380 Enrollment ID: O20150224001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Claire Marie Bolan, NP 165 Main St, Ossining, NY 10562-4702 Ph: (914) 941-1263 | Ms Claire Marie Bolan, NP 5 Grace Church St, Port Chester, NY 10573-4911 Ph: (914) 937-8899 |
Sifat Ara Ameen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Pearl St, Port Chester, NY 10573 Phone: 914-265-4061 | |
Meghan Mcsherry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Grace Church St, Port Chester, NY 10573 Phone: 914-937-8899 | |
Mrs. Mary Elizabeth White, R.N., F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Grace Church St, Port Chester, NY 10573 Phone: 914-937-8899 | |
Jayne Flynn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Grace Church St, Open Door Family Medical Centers, Inc., Port Chester, NY 10573 Phone: 914-937-8899 | |
Angela Y Mercedes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Grace Church St, Port Chester, NY 10573 Phone: 914-937-8899 Fax: 914-937-7932 | |
Julia C. Sparkman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Grace Church St, Port Chester, NY 10573 Phone: 203-722-8938 |