Vicki K Bolton, ARNP in Portland, OR - Medicare Physician Assistant

Vicki K Bolton, ARNP is a medicare enrolled "Physician Assistant" in Portland, Oregon. Her current practice location is 4400 Ne Halsey St Bldg 23, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (888) 227-3312.

Vicki K Bolton is licensed to practice in Oregon (license number 202102582NP-PP) 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 1811928187.

Contact Information

	Vicki K Bolton, ARNP
	4400 Ne Halsey St Bldg 23, Portland, OR 97213-1545
	(888) 227-3312
	Not Available

Map and Direction

Provider's Profile

Full Name	Vicki K Bolton
Gender	Female
Speciality	Physician Assistant
Location	4400 Ne Halsey St Bldg 23, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811928187
Provider Enumeration Date: 07/05/2006
Last Update Date: 03/02/2022

Medicare PECOS Information:

PECOS PAC ID: 8022115930
Enrollment ID: I20070529000317

Medical Identifiers

Medical identifiers for Vicki K Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811928187	NPI	-	NPPES
9630351	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC1500X	Nurse Practitioner - Community Health	AP30005828 (Washington)	Secondary
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	AP30005828 (Washington)	Secondary
363A00000X	Physician Assistant	202102582NP-PP (Oregon)	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. Vicki K Bolton allows following entities to bill medicare on her behalf.

Entity Name	Community Health Association Of Spokane
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326005851 PECOS PAC ID: 9638063217 Enrollment ID: O20040212000971

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453

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. Vicki K Bolton 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
Vicki K Bolton, ARNP Po Box 3229, Portland, OR 97208-3229 Ph: () -	Vicki K Bolton, ARNP 4400 Ne Halsey St Bldg 23, Portland, OR 97213-1545 Ph: (888) 227-3312

Reviews and Comments

Physician Assistant Nurses in Portland, OR

James Francis Deitle, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708
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Cindy M Fulton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213 Phone: 503-962-1000
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Kayla Mae Eversole, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1815 Sw Marlow Ave Ste 100, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110
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Vicki K Bolton, ARNP - Medicare Physician Assistant in Portland, OR