Dr Jeremy Tyler Bolin, MD in Fort Sam Houston, TX - Medicare Surgery

Dr Jeremy Tyler Bolin, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Fort Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 539-9582.

Dr Jeremy Tyler Bolin is licensed to practice in California (license number A151508) 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 1023471174.

Contact Information

	Dr Jeremy Tyler Bolin, MD
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 539-9582
	Not Available

Physician's Profile

Full Name	Dr Jeremy Tyler Bolin
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023471174
Provider Enumeration Date: 04/05/2016
Last Update Date: 06/30/2022

Medicare PECOS Information:

PECOS PAC ID: 4284004235
Enrollment ID: I20230109000246

Medical Identifiers

Medical identifiers for Dr Jeremy Tyler Bolin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023471174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	A151508 (California)	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. Dr Jeremy Tyler Bolin 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
Dr Jeremy Tyler Bolin, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (720) 236-2797	Dr Jeremy Tyler Bolin, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582

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Surgery Doctors in Fort Sam Houston, TX

Dr. George Earl Peoples Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4235 Fax: 210-916-5102
Dr. John Christopher Graybill, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr Dept Of, Attention Program Coordinator, Fort Sam Houston, TX 78234 Phone: 210-916-5371
Dr. Jordan Lane Guice, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Pamela Christine Masella, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0393
Dr. Jamie Rand, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Bradley A Rittenhouse, MD Surgery Medicare: Medicare Enrolled Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 Phone: 210-539-9582

Dr Jeremy Tyler Bolin, MD - Medicare Surgery in Fort Sam Houston, TX