Dr Jimmy G Bozeman, MD is a medicare enrolled "General Practice" physician in Salem, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1972 and has 53 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fulton County Hospital and his current practice location is
507 N Main St, Salem, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 895-2541.
Dr Jimmy G Bozeman is licensed to practice in Arkansas (license number C-4579) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164499935.
Physician's Profile
| Full Name | Dr Jimmy G Bozeman |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 53 Years |
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| Location | 507 N Main St, Salem, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jimmy G Bozeman attended and graduated from University Of Arkansas College Of Medicine in 1972
NPI Data:
- NPI Number: 1164499935
- Provider Enumeration Date: 03/01/2006
- Last Update Date: 02/01/2017
Medicare PECOS Information:
- PECOS PAC ID: 0648328302
- Enrollment ID: I20090916000145
Medical Identifiers
Medical identifiers for Dr Jimmy G Bozeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164499935 | NPI | - | NPPES |
| 200621605 | Other | MO | MEDICAID |
| 50573 | Other | AR | BLUE CROSS BLUE SHIELD |
| 102258001 | Medicaid | AR | |
| 127770000 | Other | AR | QUALCHOICE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | C-4579 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Fulton County Hospital | 8921099961 | 4 |
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. Dr Jimmy G Bozeman allows following entities to bill medicare on his behalf.
| Entity Name | Fulton County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831274612 PECOS PAC ID: 8921099961 Enrollment ID: O20060127000010 |
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| Entity Name | Baxter Health Fulton County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841038825 PECOS PAC ID: 0749716876 Enrollment ID: O20241212000038 |
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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. Dr Jimmy G Bozeman 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 |
Dr Jimmy G Bozeman, MD Po Box 517, Salem, AR 72576-0517 Ph: (870) 895-6096 | Dr Jimmy G Bozeman, MD 507 N Main St, Salem, AR 72576-9449 Ph: (870) 895-2541 |
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