Gary G. Bolton, M. D., P. A. - Medicare Primary Care in Ridgeland, MS

Gary G. Bolton, M. D., P. A. is a medicare enrolled primary clinic (Clinic/center) in Ridgeland, Mississippi. The current practice location for Gary G. Bolton, M. D., P. A. is 305 Highland Park Cove, Ridgeland, Mississippi. For appointments, you can reach them via phone at (601) 206-9433. The mailing address for Gary G. Bolton, M. D., P. A. is 305 Highland Park Cove, Ridgeland, Mississippi and phone number is () -.

Gary G. Bolton, M. D., P. A. is licensed to practice in Mississippi (license number 10243). The clinic also participates in the medicare program and its NPI number is 1205067188. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 206-9433.

Contact Information

Gary G. Bolton, M. D., P. A.
305 Highland Park Cove
Ridgeland
MS 39157-6059
(601) 206-9433
Not Available

Primary Care Clinic Profile

Full NameGary G. Bolton, M. D., P. A.
SpecialityClinic/Center
Location305 Highland Park Cove, Ridgeland, Mississippi
Authorized Official Name and PositionGary G Bolton (PRESIDENT)
Authorized Official Contact6012069433
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gary G. Bolton, M. D., P. A.
305 Highland Park Cove
Ridgeland
MS 39157-6059

Ph: () -
Gary G. Bolton, M. D., P. A.
305 Highland Park Cove
Ridgeland
MS 39157-6059

Ph: (601) 206-9433

NPI Details:

NPI Number1205067188
Provider Enumeration Date07/27/2009
Last Update Date07/27/2009

Medicare PECOS Information:

Medicare PECOS PAC ID7810031630
Medicare Enrollment IDO20100217000639

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Medical Identifiers

Medical identifiers for Gary G. Bolton, M. D., P. A. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205067188NPI-NPPES
00111886MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 10243 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gary G. Bolton, M. D., P. A. acts as a billing entity for following providers:
Provider NameGary Glenn Bolton
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1972620797
PECOS PAC ID: 5395889117
Enrollment ID: I20100217000611

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