Gregory K Bollen, DDS in Jacksonville, AR - Medicare Dentist Provider

Gregory K Bollen, DDS is a medicare enrolled "Dentist" provider in Jacksonville, Arkansas. His current practice location is 809 Marshall Road, Jacksonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 982-4444.

Gregory K Bollen is licensed to practice in Arkansas (license number 2890) 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 1154426773.

Contact Information

	Gregory K Bollen, DDS
	809 Marshall Road, Jacksonville, AR 72076
	(501) 982-4444
	(501) 982-6616

Healthcare Provider's Profile

Full Name	Gregory K Bollen
Gender	Male
Speciality	Dentist
Location	809 Marshall Road, Jacksonville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154426773
Provider Enumeration Date: 09/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1658685508
Enrollment ID: I20150805007973

Medical Identifiers

Medical identifiers for Gregory K Bollen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154426773	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2890 (Arkansas)	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. Gregory K Bollen 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
Gregory K Bollen, DDS 809 Marshall Road, Jacksonville, AR 72076 Ph: (501) 982-4444	Gregory K Bollen, DDS 809 Marshall Road, Jacksonville, AR 72076 Ph: (501) 982-4444

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Dentist in Jacksonville, AR

David Cole, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 308 N James St, Jacksonville, AR 72076 Phone: 501-436-0355
Brandon Jones, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 308 N James St, Jacksonville, AR 72076 Phone: 501-982-7547
Dr. Thomas B. Henry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 John Harden Dr, Jacksonville, AR 72076 Phone: 501-982-4520 Fax: 501-982-7450
Dr. Connor James Rasmussen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 308 N James St, Jacksonville, AR 72076 Phone: 601-436-0355
Dr. Andrew George Orr, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1405 Braden Street, Jacksonville, AR 72076 Phone: 501-241-2345 Fax: 501-985-8081
Mr. Thomas Richard Bush, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 N 2nd St, Jacksonville, AR 72076 Phone: 501-982-9476 Fax: 501-982-2621

Gregory K Bollen, DDS - Medicare Dentist in Jacksonville, AR