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DR. JOLLY BOSE M.D.
NPI 1619116548
Family Medicine - Adult Medicine in Palatka, FL

Active since February 17, 2009PECOS Enrolled
400 N STATE ROAD 19, SUITE 48, PALATKA, FL 32177(386) 329-8800 Get Directions Write a Review

NPPES record last updated: March 29, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jolly Bose M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOLLY BOSE M.D. (NPI 1619116548) is an individual adult medicine provider in Palatka, Florida, licensed in Florida (ME105828) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619116548
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. JOLLY BOSECredential: M.D.
Location Address400 N STATE ROAD 19, SUITE 48Palatka, FL 32177-2482
Mailing Address400 N State Road 19, Suit 48 Nf/sg Vahs Palatka CbocPalatka, FL 32177-2482 · (386) 329-8800
Phone(386) 329-8800
Sole ProprietorNo
Enumeration DateFebruary 17, 2009
Last NPPES UpdateMarch 29, 2013
✔ NPI 1619116548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · ME105828
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License ME105828 (FL)
400 N STATE ROAD 19, Palatka, FL 32177
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jolly Bose M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32177 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAREN RUTH OKELLY MD
Psychiatry & Neurology (Psychiatry)
400 N STATE ROAD 19, SUITE 48
PALATKA, FL 32177
Putnam County (386) 329-8800
DR. ANNE GORDON SCHIEFER PHARMD.
Pharmacist
400 N STATE ROAD 19, SUITE 48
PALATKA, FL 32177
Putnam County (386) 329-8830
GAINESVILLE VAMC
Clinic/Center (VA)
400 N STATE ROAD 19
PALATKA, FL 32177
Putnam County (866) 793-4591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jolly Bose's NPI number?

The NPI number for Jolly Bose is 1619116548. It was assigned to this individual provider in the NPPES registry on February 17, 2009.

Where is Jolly Bose located?

Jolly Bose practices at 400 N State Road 19 Suite 48, Palatka, FL 32177. The listed phone number is (386) 329-8800.

What is Jolly Bose's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Jolly Bose enrolled in Medicare?

Yes. Jolly Bose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jolly Bose was last updated on March 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.