NPIMap

Bolivar Physician Practices LLC

A Medicare group practice based in Cleveland, MS: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 6305995895), with 42 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305995895The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AR, MS
Enrollments
2
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20090512000274 MS Part B Supplier - Clinic/Group Practice 1063659530
O20191217000689 AR Part B Supplier - Clinic/Group Practice 1316388416

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
100 of 100Reported as group, on the record of 13 clinicians in this group
Promoting interoperability
100
Improvement activities
40

Clinicians 42

Clinicians who reassign their Medicare benefits to this group (42) or whom Care Compare lists as members (17).

Sources for this page