Dr Kimberly Bolivar, MD in Duarte, CA

Dr Kimberly Bolivar, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Duarte, California. Her current practice location is 1500 Duarte Rd, Duarte, California. You can reach out to her office (for appointments etc.) via phone at (626) 256-4673.

Dr Kimberly Bolivar is licensed to practice in California (license number A160850) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942654892.

Contact Information

	Dr Kimberly Bolivar, MD
	1500 Duarte Rd, Duarte, CA 91010-3012
	(626) 256-4673
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Bolivar
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	1500 Duarte Rd, Duarte, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942654892
Provider Enumeration Date: 04/18/2016
Last Update Date: 08/12/2024

Medicare PECOS Information:

PECOS PAC ID: 3274832845
Enrollment ID: I20220725001085

Medical Identifiers

Medical identifiers for Dr Kimberly Bolivar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942654892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A160850 (California)	Primary

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 Kimberly Bolivar allows following entities to bill medicare on her behalf.

Entity Name	Harbor Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124079561 PECOS PAC ID: 2466356209 Enrollment ID: O20040719000954

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

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 Kimberly 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
Dr Kimberly Bolivar, MD Po Box 512185, Los Angeles, CA 90051-0185 Ph: () -	Dr Kimberly Bolivar, MD 1500 Duarte Rd, Duarte, CA 91010-3012 Ph: (626) 256-4673

Reviews and Comments

Radiology Doctors in Duarte, CA

Jimmie Wong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-359-8111
Terence Williams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673
Dr. Yufei Liu, MD PHD Radiology Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673
Dr. Marisa Mu-hui Tseng, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673
Dr. Sanjit Datta, MD Radiology Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 800-826-4673
Dr. John Park, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-359-8111
Dr. Ammar Ahmed Chaudhry, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1500 Duarte Rd, Duarte, CA 91010 Phone: 626-256-4673

Dr Kimberly Bolivar, MD - Medicare Radiology in Duarte, CA