Melody Bolton, - Medicare Anesthesiology Assistant in Kennesaw, GA

Melody Bolton, is a medicare enrolled "Anesthesiology" physician in Kennesaw, Georgia. She went to Emory University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Emory Specialty Associates, Llc, The Emory Clinic, Inc and her current practice location is 1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (985) 722-7993.

Melody Bolton is licensed to practice in Georgia (license number 10618) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104588839.

Contact Information

Melody Bolton,
1300 Ridenour Blvd Nw Ste 300,
Kennesaw, GA 30152-4402
(985) 722-7993
Not Available



Physician's Profile

Full NameMelody Bolton
GenderFemale
SpecialityAnesthesiology Assistant
Experience3 Years
Location1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melody Bolton attended and graduated from Emory University School Of Medicine in 2021
  NPI Data:
  • NPI Number: 1104588839
  • Provider Enumeration Date: 10/11/2021
  • Last Update Date: 10/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739587197
  • Enrollment ID: I20211015000170

Medical Identifiers

Medical identifiers for Melody Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104588839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 10618 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory University Hospital MidtownAtlanta, GAHospital
Emory Decatur HospitalDecatur, GAHospital
Emory University HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emory Specialty Associates, Llc3476559782430
The Emory Clinic, Inc88209014082687

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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. Melody Bolton allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503

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Entity NameEmory Specialty Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447

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Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563

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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. Melody 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 AddressPractice Location Address
Melody Bolton,
476 Wilmer St Ne Unit 1113,
Atlanta, GA 30308-2934

Ph: () -
Melody Bolton,
1300 Ridenour Blvd Nw Ste 300,
Kennesaw, GA 30152-4402

Ph: (985) 722-7993

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› Verified 7 days ago


Anesthesiology Doctors in Kennesaw, GA

Russell H Blocker, PAAA
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 678-290-0479
Walter H Butler, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 770-590-1442
Christopher W Stowell, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3450 Acworth Due West Rd Nw Ste 200, Kennesaw, GA 30144
Phone: 770-794-6643    Fax: 770-794-6683
Dr. Grant Adam Doornbos, M.D.
Anesthesiology
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152
Phone: 770-702-1806    
James Michael Ditolla, D.O.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1275 Shiloh Rd Nw Ste 2120, Kennesaw, GA 30144
Phone: 631-671-1194    
Edward T Scruggs, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 770-590-1442

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