CARLY JO BOLTON PA NPI 1629627401

Physician Assistant in York, PA

NPI 1629627401 Individual Female Years of Experience 3 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment

About CARLY BOLTON

Carly Bolton is a primary care provider established in York, Pennsylvania and her medical specialization is physician assistant with more than 3 years of experience. The NPI number of Carly Bolton is 1629627401 and was assigned on September 2019. The practitioner's primary taxonomy code is 363A00000X with license number MA060736 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago. Carly Bolton operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

A primary care provider (PCP) like Carly Jo Bolton Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Carly Bolton is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Carly Bolton is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with York Hospital.

NPI

1629627401

Provider Name CARLY JO BOLTON PA
Provider Location Address300 PINE GROVE CMNS YORK, PA 17403
Provider Mailing Address3421 CONCORD RD YORK, PA 17402
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2019
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-05-2019
Last Update Date12-05-2019


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.MA060736
License StatePA
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

CARLY JO BOLTON PA
300 PINE GROVE CMNS
YORK, PA
ZIP 17403
Phone: (717) 851-6110

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Mailing Address

CARLY JO BOLTON PA
3421 CONCORD RD
YORK, PA
ZIP 17402
Phone: (717) 851-6110



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8224369863
PECOS Enrollment IDI20191011000746
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Carly Bolton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
YORK HOSPITAL1001 SOUTH GEORGE STREET
YORK, PA 17403
(717) 851-4495Acute Care Hospitals390046

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649722802WELLSPAN MEDICAL GROUP
Organization
Surgery (Pediatric Surgery)300 PINE GROVE CMNS
YORK, PA 17403
(717) 812-2479
1730149535DR. SHAWN MICHAEL TERRY M.D.
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1063479970 DANIEL E CARNEY MD
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1346281607DR. MICHAEL P NAJARIAN MD
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1851320493DR. EBONDO MPINGA MD
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1093917221 JESSE GODDARD M.D.
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1235398355DR. GRAHAM G LAURENCE M.D.
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1316333487WELLSPAN MEDICAL GROUP
Organization
Surgery (Trauma Surgery)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1265743959 SHABNAM HAFIZ MD
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1992962997DR. ALI KHALID JAWED M.D.
Individual
Surgery300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1942768981 GEORGE D SCHEURICH CRNP
Individual
Nurse Practitioner (Acute Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1790210532 COURTNEY N LACZKO PA-C
Individual
Physician Assistant300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1740549427 AMY JILL BRICKNER CRNP
Individual
Nurse Practitioner (Pediatrics)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1386021624 HEIDI MICHELLE RICKER CRNP
Individual
Nurse Practitioner (Acute Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1285277913 SARA ANNE LISCHERELLI
Individual
Nurse Practitioner (Critical Care Medicine)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1023651668 ANDREA BACHMAN CRNP
Individual
Nurse Practitioner (Acute Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1003005174MR. DAVID M. GILMAN PA-C
Individual
Physician Assistant300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1144894981 REBECCA LYNN HOMAN CRNP
Individual
Nurse Practitioner (Family)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.