Carla Prince Bolivar, MD in Farmington, MO - Medicare Internal Medicine

Carla Prince Bolivar, MD is a medicare enrolled "Internal Medicine" physician in Farmington, Missouri. She graduated from medical school in 2001 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Saint Francis Medical Center and her current practice location is 515 Maple Valley Dr, Farmington, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 760-7920.

Carla Prince Bolivar is licensed to practice in Missouri (license number 2009022078) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922233873.

Contact Information

	Carla Prince Bolivar, MD
	515 Maple Valley Dr, Farmington, MO 63640-1919
	(573) 760-7920
	(573) 756-9597

Map and Direction

Physician's Profile

Full Name	Carla Prince Bolivar
Gender	Female
Speciality	Internal Medicine
Experience	25 Years
Location	515 Maple Valley Dr, Farmington, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carla Prince Bolivar graduated from medical school in 2001

NPI Data:

NPI Number: 1922233873
Provider Enumeration Date: 05/21/2009
Last Update Date: 03/09/2021

Medicare PECOS Information:

PECOS PAC ID: 3274675699
Enrollment ID: I20100123000217

Medical Identifiers

Medical identifiers for Carla Prince Bolivar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922233873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2009022078 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bjc Home Care Services	Saint louis, MO	Home health agency
Saint Francis Medical Center	Cape girardeau, MO	Hospital
Parkland Health Center	Farmington, MO	Hospital
Washington County Memorial Hospital	Potosi, MO	Hospital
Mercy Hospital Jefferson	Festus, MO	Hospital
Missouri Baptist Medical Center	Town and country, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Francis Medical Center	9931007929	408

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carla Prince Bolivar allows following entities to bill medicare on her behalf.

Entity Name	Saint Francis Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carla Prince Bolivar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carla Prince Bolivar, MD Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-3000	Carla Prince Bolivar, MD 515 Maple Valley Dr, Farmington, MO 63640-1919 Ph: (573) 760-7920

Reviews and Comments

Internal Medicine Doctors in Farmington, MO

Mark M Chin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-760-8488 Fax: 573-756-3793
Amresh Kumar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-701-7227
Evan Grant Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751
Dr. Sunil Gupta Chand, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1031 E Karsch Blvd, Farmington, MO 63640 Phone: 573-756-7880
John A Hartman, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1103 Weber Rd, Ste 101, Farmington, MO 63640 Phone: 573-756-6438 Fax: 573-756-6439
Susan K Cox, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1580 West Columbia St., Farmington, MO 63640 Phone: 573-760-1365
John David Griffin, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 Annie Dr, Farmington, MO 63640 Phone: 573-915-4880

Carla Prince Bolivar, MD - Medicare Internal Medicine in Farmington, MO