William Spencer Bolt, PA-C - Medicare Physician Assistant in Jellico, TN

William Spencer Bolt, PA-C is a medicare enrolled "Physician Assistant" in Jellico, Tennessee. His current practice location is 1390 5th St, Jellico, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 253-1110.

William Spencer Bolt is licensed to practice in Tennessee (license number 5238) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891402103.

Contact Information

William Spencer Bolt, PA-C
1390 5th St,
Jellico, TN 37762-2631
(931) 253-1110
Not Available

Map and Direction




Provider's Profile

Full NameWilliam Spencer Bolt
GenderMale
SpecialityPhysician Assistant
Location1390 5th St, Jellico, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891402103
  • Provider Enumeration Date: 11/04/2022
  • Last Update Date: 11/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820466717
  • Enrollment ID: I20221128000879

Medical Identifiers

Medical identifiers for William Spencer Bolt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891402103NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5238 (Tennessee)Primary

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. William Spencer 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 AddressPractice Location Address
William Spencer Bolt, PA-C
1390 5th St,
Jellico, TN 37762-2631

Ph: (931) 253-1110
William Spencer Bolt, PA-C
1390 5th St,
Jellico, TN 37762-2631

Ph: (931) 253-1110

Reviews and Comments


Physician Assistant Nurses in Jellico, TN

Natalie Ruth Wilbanks, PA-C
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Adrian Ricketts Davies, PA
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Keven Wayne Jeffers, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 550 Sunset Trl, Jellico, TN 37762
Phone: 423-784-5771    Fax: 423-455-0380
Kenneth J Reed, P.A.C.
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Medicare: Medicare Enrolled
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Phone: 423-784-7269    Fax: 423-784-3708
Heather Mae Demaree, P.A.C.
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Medicare: Accepting Medicare Assignments
Practice Location: 131 Hospital Ln, Jellico, TN 37762
Phone: 423-784-7269    Fax: 423-784-3708

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.