THERESE MARIE BOLGER P.A.
NPI 1871867374
Physician Assistant - Medical in Chicago, IL

Q: What is Therese Bolger's NPI number?

The NPI number for Therese Bolger is 1871867374. It was assigned to this individual provider in the NPPES registry on March 1, 2012.

Q: What is Therese Bolger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Therese Bolger was last updated on May 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 01, 2012PECOS Enrolled

4255 W 63RD ST, CHICAGO, IL 60629(773) 424-4048(773) 424-6463 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Therese Marie Bolger P.a. NPPES

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

THERESE MARIE BOLGER P.A. (NPI 1871867374) is an individual medical provider in Chicago, Illinois, licensed in Illinois (085.004226) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871867374

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameTHERESE MARIE BOLGERCredential: P.A.

Location Address4255 W 63RD STChicago, IL 60629-5041

Mailing Address4255 W 63rd StChicago, IL 60629-5041 · (773) 424-4048 · Fax (773) 424-6463

Phone(773) 424-4048

Fax(773) 424-6463

Sole ProprietorNo

Enumeration DateMarch 1, 2012

Last NPPES UpdateMay 7, 2019

✔ NPI 1871867374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085.004226

4255 W 63RD ST, Chicago, IL 60629

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Therese Marie Bolger P.a. 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,674 services397 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,113 services386 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

181 services181 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

45 services45 patients

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Other Providers at the Same Location NPPES 10

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

MIRSHED MEDICAL CENTER S C

Internal Medicine