Doctor profile · Federal record
Dr. Lucy Bolerjack, DO
Obstetrics & Gynecology Physician (CMS: Obstetrics/Gynecology) · Obstetrics & Gynecology Physician · Jacksonville, FL
- NPI 1346815875
- Accepts Medicare
- 5 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
836 Prudential Dr Ste 1202
Jacksonville, FL 322078339
(904) 493-5323
fax (866) 554-1605 - Additional location
-
1 Genesys Pkwy
Grand Blanc, MI 484398065
(810) 606-5000 - Mailing address
-
Po Box 748817
Atlanta, GA 303748817
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Profile last updated
- July 11, 2025
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State licenses (2)
- Florida #OS22431 · Michigan #5151014839
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1346815875. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$240
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 1 | $119.27 | |
| Hologic Sales and Service, LLC | 1 | $81.41 | |
| Baxter Healthcare | 1 | $39.35 |
By nature of payment
Frequently asked questions
What is Dr. Lucy Bolerjack's medical specialty?
Dr. Lucy Bolerjack practices Obstetrics & Gynecology Physician in Jacksonville, FL.
Where does Dr. Lucy Bolerjack practice?
Dr. Lucy Bolerjack practices at 836 Prudential Dr Ste 1202, Jacksonville, FL 322078339. Office phone: 9044935323.
What is Dr. Lucy Bolerjack's NPI?
Dr. Lucy Bolerjack's National Provider Identifier (NPI) is 1346815875, issued by NPPES.
Does Dr. Lucy Bolerjack accept Medicare assignment?
Yes. Dr. Lucy Bolerjack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.