JESSICA BOLDWILL MD – NPI #1437507514
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JESSICA BOLDWILL is a physician located in ATHENS, TX. NPPES has assigned the NPI number 1437507514 to JESSICA BOLDWILL on May 30, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JESSICA THOMASON. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Oct 08, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSICA BOLDWILL below.

NPI Profile for
JESSICA BOLDWILL

NPI Number
1437507514
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JESSICA BOLDWILL
Former Name: JESSICA THOMASON
Credentials
MD
Primary location
117 MEDICAL CIR
ATHENS, TX 75751
Phone: (903) 676-3200 Fax: (903) 676-3277
1 Other location(s):
11130 Christus Hls
Medical Plaza 3, Suite 201-16
San Antonio, TX 78251-3585
Phone: (210) 703-9029
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 TX R4368

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE - Graduated 2016
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JESSICA BOLDWILL is affiliated with the following medical group(s):
  • HOSPITAL
    • UT HEALTH EAST TEXAS ATHENS HOSPITAL
      2000 SOUTH PALESTINE ST
      ATHENS, TX 75751
    • UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
      1000 SOUTH BECKHAM AVE
      TYLER, TX 75701
  • HOME HEALTH AGENCY
    • TRADITIONS HEALTH CARE
      1820 SHILOH RD #1101
      TYLER, TX 75703

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