SHARI DANIELLE BOLEN M.D. NPI 1740246347
Internal Medicine in Cleveland, OH
About SHARI BOLEN
Shari Bolen is an internal medicine provider established in Cleveland, Ohio and her medical specialization is internal medicine with more than 22 years of experience. She graduated from Ohio State University College Of Medicine in 2000. The NPI number of Shari Bolen is 1740246347 and was assigned on April 2006. The practitioner's primary taxonomy code is 207R00000X with license number 092468 (OH). The provider is registered as an individual and her NPI record was last updated 10 years ago.
An internist like Shari Danielle Bolen M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Shari Bolen 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
Shari Bolen 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 Metrohealth System.
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.89 for a new patient copayment and $25.3 for an established patient copayment.
| NPI | 1740246347 |
| Provider Name | SHARI DANIELLE BOLEN M.D. |
| Provider Location Address | 2500 METROHEALTH DR METROHEALTH MEDICAL CENTER-INTERNAL MEDICINE CLINIC CLEVELAND, OH 44109 |
| Provider Mailing Address | 2500 METROHEALTH DR RAMMELKAMP RESEARCH & EDUC. BLDG, R221 CLEVELAND, OH 44109 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 04-22-2006 |
| Last Update Date | 12-15-2011 |
Primary Taxonomy
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 092468 |
| License State | OH |
| Taxonomy Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Business Address
SHARI DANIELLE BOLEN M.D.
2500 METROHEALTH DR
METROHEALTH MEDICAL CENTER-INTERNAL MEDICINE CLINIC
CLEVELAND, OH
ZIP 44109
Phone: (216) 778-2273
Mailing Address
SHARI DANIELLE BOLEN M.D.
2500 METROHEALTH DR
RAMMELKAMP RESEARCH & EDUC. BLDG, R221
CLEVELAND, OH
ZIP 44109
Phone:
Medicare Participation
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.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 8325089972 |
| PECOS Enrollment ID | I20090114000014 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 44109 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.74 | $173.94 | $131.59 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.18 | $43.48 | $32.89 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.31 | $141.66 | $101.2 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.32 | $35.41 | $25.3 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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. Shari Bolen is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| METROHEALTH SYSTEM | 2500 METROHEALTH DRIVE CLEVELAND, OH 44109 | (216) 778-4196 | Acute Care Hospitals | 360059 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 402798100 | MEDICAID (05) | MD |
| KR65G821 | MEDICARE ID-TYPE UNSPECIFIED (04) | MD |
| H90453 | MEDICARE UPIN (02) | MD |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992704886 | CARIE TWICHELL AA Individual | Anesthesiologist Assistant | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4809 |
| 1104827740 | JULIA A. RILEY PHARM.D. Individual | Pharmacist | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-1946 |
| 1013909209 | MR. KRISTEN NILS HANSEN RPH Individual | Pharmacist | 2500 METROHEALTH DR WOMENS AND CHILDRENS PLAZA CLEVELAND, OH 44109 (216) 778-8537 |
| 1710970082 | MS. KELLYE KAUFMAN AA-C Individual | Anesthesiologist Assistant | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4801 |
| 1881687564 | MR. BRADEN JOSEPH KUNZELMAN RPH Individual | Pharmacist | 2500 METROHEALTH DR AMBULATORY PHARMACY CLEVELAND, OH 44109 (216) 778-7548 |
| 1508859281 | MS. STEPHANIE E CROSS RPH Individual | Pharmacist | 2500 METROHEALTH DR OUTPATIENT PHARMACY CLEVELAND, OH 44109 (216) 778-3017 |
| 1255324943 | MRS. TANIA NICOLE BIERLY RPH Individual | Pharmacist | 2500 METROHEALTH DR OUTPATIENT PHARMACY CLEVELAND, OH 44109 (216) 778-2201 |
| 1154315364 | MR. JOSEPH PEACHMAN A.A. Individual | Anesthesiologist Assistant | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4801 |
| 1801880596 | MR. MICHAEL L PYRTKO RPH Individual | Pharmacist | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-7548 |
| 1588658157 | MS. EBONY NICOLE ALEXANDER RPH Individual | Pharmacist | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-3017 |
| 1275522765 | HANS C GEHO M.D. Individual | Internal Medicine | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-7800 |
| 1376523670 | DR. ANDRE PROCHOROFF MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4933 |
| 1831166636 | SHANE B ROWAN MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-2328 |
| 1144284928 | DR. BEN H BROUHARD MD Individual | Pediatrics (Pediatric Nephrology) | 2500 METROHEALTH DR ROOM A-109 CLEVELAND, OH 44109 (216) 778-4900 |
| 1457304255 | WILLIAM E CAPPAERT M.D. Individual | Ophthalmology | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-2236 |
| 1316987902 | SHARON LYNN MACK CNP Individual | Nurse Practitioner | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-7800 |
| 1770523516 | MS. ANNETTE M LYNCH MSN, CNS Individual | Clinical Nurse Specialist (Perinatal) | 2500 METROHEALTH DR DEPARTMENT OF PEDIATRICS/PERINATAL CLEVELAND, OH 44109 (216) 778-7800 |
| 1427099183 | DR. KARL G WAGNER MD Individual | Anesthesiology | 2500 METROHEALTH DR DEPARTMENT OF ANESTHESIOLOGY CLEVELAND, OH 44109 (216) 778-4809 |
| 1760428155 | GRAHAM H CREASEY MD Individual | Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine) | 2500 METROHEALTH DR MHMC-PM&R CLEVELAND, OH 44109 (216) 778-8802 |
| 1508892290 | JAMES F QUILTY MD Individual | Pediatrics | 2500 METROHEALTH DR MHMC-PEDIATRICS CLEVELAND, OH 44109 (216) 778-5198 |
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.