| Dr Bolivia Davis, MD | |
|
5 Garrett Ave, Dept Of Radiology, La Plata, MD 20646-5960 | |
| (301) 609-4000 | |
| Not Available |
| Full Name | Dr Bolivia Davis |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 5 Garrett Ave, Dept Of Radiology, La Plata, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073584413 | NPI | - | NPPES |
| 660302501 | Medicaid | MD | |
| 029555600 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | D0043096 (Maryland) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | D0043096 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aventura Hospital And Medical Center | Aventura, FL | Hospital |
| Westside Regional Medical Center | Plantation, FL | Hospital |
| Umd Prince George's Hospital Ctr | Cheverly, MD | Hospital |
| Kendall Regional Medical Center | Miami, FL | Hospital |
| Plantation General Hospital | Plantation, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tampa Bay Radiology Associates Pa | 1456381136 | 129 |
| Dimensions Healthcare Associates Inc | 1557269743 | 183 |
| Intellirad Imaging Llc | 9739333790 | 55 |
| University Of Maryland Diagnostic Radiology, Llc | 0345513248 | 43 |
| Foundation Radiology Group Pc | 3779683537 | 82 |
| Intellirad Imaging Llc | 9739333790 | 55 |
| Entity Name | Dimensions Healthcare Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346354834 PECOS PAC ID: 1557269743 Enrollment ID: O20031226000032 |
| Entity Name | Professional Services Of Holy Cross |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487692828 PECOS PAC ID: 3779516992 Enrollment ID: O20050916000745 |
| Entity Name | Foundation Radiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740482686 PECOS PAC ID: 3779683537 Enrollment ID: O20090925000096 |
| Entity Name | F&s Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518299957 PECOS PAC ID: 0244368868 Enrollment ID: O20100818000973 |
| Entity Name | Pronet Imaging Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099488 PECOS PAC ID: 5890722755 Enrollment ID: O20120117000347 |
| Entity Name | University Of Maryland Diagnostic Imaging Specialists, P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154335487 PECOS PAC ID: 7719873298 Enrollment ID: O20131121000450 |
| Entity Name | University Imaging Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245245307 PECOS PAC ID: 2769378686 Enrollment ID: O20140423002053 |
| Entity Name | Desert Advanced Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20150915000710 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20150928000501 |
| Entity Name | Tampa Bay Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518914977 PECOS PAC ID: 1456381136 Enrollment ID: O20170111003378 |
| Entity Name | Radiology Physician Solutions Of West Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104205046 PECOS PAC ID: 3577876218 Enrollment ID: O20180625002205 |
| Entity Name | Sheridan Radiology Services Of Pinellas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629439658 PECOS PAC ID: 7517119407 Enrollment ID: O20180712001294 |
| Entity Name | Intellirad Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073859484 PECOS PAC ID: 9739333790 Enrollment ID: O20240212001879 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bolivia Davis, MD 22 S Greene St, Dept Of Radiology, Baltimore, MD 21201-1544 Ph: (410) 328-3477 | Dr Bolivia Davis, MD 5 Garrett Ave, Dept Of Radiology, La Plata, MD 20646-5960 Ph: (301) 609-4000 |
Dr. Anthony Fitzgerald Harewood, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 5 Garrett Ave, Dept Of Radiology, La Plata, MD 20646 Phone: 301-609-4000 | |
Dr. Edward Martin Druy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Garrett Ave, Dept Of Radiology, La Plata, MD 20646 Phone: 301-609-4000 |