Bryan Bolea, PHD in Grand Rapids, MI - Medicare Psychologist Provider

Bryan Bolea, PHD is a medicare enrolled "Psychologist - Clinical" provider in Grand Rapids, Michigan. His current practice location is 1000 Parchment Dr Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 957-9112.

Bryan Bolea is licensed to practice in Michigan (license number 6301012696) 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 1316390396.

Contact Information

	Bryan Bolea, PHD
	1000 Parchment Dr Se, Grand Rapids, MI 49546-3669
	(616) 957-9112
	(616) 957-2409

Map and Direction

Healthcare Provider's Profile

Full Name	Bryan Bolea
Gender	Male
Speciality	Psychologist - Clinical
Location	1000 Parchment Dr Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316390396
Provider Enumeration Date: 07/14/2016
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9638441454
Enrollment ID: I20170814002747

Medical Identifiers

Medical identifiers for Bryan Bolea such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316390396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301012696 (Michigan)	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. Bryan Bolea allows following entities to bill medicare on his behalf.

Entity Name	Psychology Associates Of Grand Rapids Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205017738 PECOS PAC ID: 6608826557 Enrollment ID: O20050127000854

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. Bryan Bolea 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
Bryan Bolea, PHD 1000 Parchment Dr Se, Grand Rapids, MI 49546-3669 Ph: (616) 957-9112	Bryan Bolea, PHD 1000 Parchment Dr Se, Grand Rapids, MI 49546-3669 Ph: (616) 957-9112

Reviews and Comments

Psychologist in Grand Rapids, MI

Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660
Michelle Marie Muenzenmeyer, LLP, CHMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Raybrook St Se Ste 102-1, Grand Rapids, MI 49546 Phone: 616-795-0900 Fax: 616-795-0899
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660
Marcia Hollingsworth, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033

Bryan Bolea, PHD - Medicare Psychologist in Grand Rapids, MI