Robert Deane Bolton, MD in Fairchild Afb, WA - Medicare Pediatrics

Robert Deane Bolton, MD is a medicare enrolled "Pediatrics" physician in Fairchild Afb, Washington. His current practice location is 701 Hospital Loop, Fairchild Afb, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 247-9043.

Robert Deane Bolton is licensed to practice in New Mexico (license number MD2013-0296) 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 1063738631.

Contact Information

	Robert Deane Bolton, MD
	701 Hospital Loop, Fairchild Afb, WA 99011-8704
	(509) 247-9043
	Not Available

Physician's Profile

Full Name	Robert Deane Bolton
Gender	Male
Speciality	Pediatrics
Location	701 Hospital Loop, Fairchild Afb, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063738631
Provider Enumeration Date: 04/07/2010
Last Update Date: 08/11/2023

Medicare PECOS Information:

PECOS PAC ID: 9830328178
Enrollment ID: I20240104003852

Medical Identifiers

Medical identifiers for Robert Deane Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063738631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	1063738631 (Indiana)	Secondary
208000000X	Pediatrics	MD2013-0296 (New Mexico)	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. Robert Deane 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 Address	Practice Location Address
Robert Deane Bolton, MD Landstuhl Regional Medical Center Unit 33100, Apo, AE 09180-3100 Ph: (314) 590-7700	Robert Deane Bolton, MD 701 Hospital Loop, Fairchild Afb, WA 99011-8704 Ph: (509) 247-9043

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Pediatrics Doctors in Fairchild Afb, WA

Alyse Marie Carlson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 701 Hospital Loop, Fairchild Afb, WA 99011
Phone: 247-509-9898

Robert Deane Bolton, MD - Medicare Pediatrics in Fairchild Afb, WA