SHARI DANIELLE BOLEN M.D. NPI 1740246347

Internal Medicine in Cleveland, OH

NPI 1740246347 Individual Female Years of Experience 22 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

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 Address2500 METROHEALTH DR METROHEALTH MEDICAL CENTER-INTERNAL MEDICINE CLINIC CLEVELAND, OH 44109
Provider Mailing Address2500 METROHEALTH DR RAMMELKAMP RESEARCH & EDUC. BLDG, R221 CLEVELAND, OH 44109
GenderFemale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-22-2006
Last Update Date12-15-2011


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.092468
License StateOH
Taxonomy DescriptionA 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

Get Directions


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 ID8325089972
PECOS Enrollment IDI20090114000014
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

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 SYSTEM2500 METROHEALTH DRIVE
CLEVELAND, OH 44109
(216) 778-4196Acute Care Hospitals360059

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
402798100MEDICAID (05)MD
KR65G821MEDICARE ID-TYPE UNSPECIFIED (04)MD
H90453MEDICARE 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 Assistant2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4809
1104827740 JULIA A. RILEY PHARM.D.
Individual
Pharmacist2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-1946
1013909209MR. KRISTEN NILS HANSEN RPH
Individual
Pharmacist2500 METROHEALTH DR WOMENS AND CHILDRENS PLAZA
CLEVELAND, OH 44109
(216) 778-8537
1710970082MS. KELLYE KAUFMAN AA-C
Individual
Anesthesiologist Assistant2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4801
1881687564MR. BRADEN JOSEPH KUNZELMAN RPH
Individual
Pharmacist2500 METROHEALTH DR AMBULATORY PHARMACY
CLEVELAND, OH 44109
(216) 778-7548
1508859281MS. STEPHANIE E CROSS RPH
Individual
Pharmacist2500 METROHEALTH DR OUTPATIENT PHARMACY
CLEVELAND, OH 44109
(216) 778-3017
1255324943MRS. TANIA NICOLE BIERLY RPH
Individual
Pharmacist2500 METROHEALTH DR OUTPATIENT PHARMACY
CLEVELAND, OH 44109
(216) 778-2201
1154315364MR. JOSEPH PEACHMAN A.A.
Individual
Anesthesiologist Assistant2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-4801
1801880596MR. MICHAEL L PYRTKO RPH
Individual
Pharmacist2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-7548
1588658157MS. EBONY NICOLE ALEXANDER RPH
Individual
Pharmacist2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-3017
1275522765 HANS C GEHO M.D.
Individual
Internal Medicine2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-7800
1376523670DR. 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
1144284928DR. 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
Ophthalmology2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-2236
1316987902 SHARON LYNN MACK CNP
Individual
Nurse Practitioner2500 METROHEALTH DR
CLEVELAND, OH 44109
(216) 778-7800
1770523516MS. ANNETTE M LYNCH MSN, CNS
Individual
Clinical Nurse Specialist (Perinatal)2500 METROHEALTH DR DEPARTMENT OF PEDIATRICS/PERINATAL
CLEVELAND, OH 44109
(216) 778-7800
1427099183DR. KARL G WAGNER MD
Individual
Anesthesiology2500 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
Pediatrics2500 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.