Michael K Bohlman, M.D.
Individual provider Active NPI Family Medicine Physician · Powell, WY
NPI 1952390825 · NPPES record last updated Oct 19, 2007
Key facts
- NPI
- 1952390825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5478A (WY)
- Practice address
- 450 Mountain View St
Powell, WY 82435-2212 - Phone
- (307) 754-7257
- Fax
- (307) 754-7217
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powell Valley Healthcare Inc
Practice addresses (Care Compare)
450 Mountain View
Powell, WY 82435-2212
Phone (307) 754-7257
Hospital & facility affiliations
- Hyland Nursing Services LLC
- Cody Regional Health Home Health
- Stillwater Hospice of Northern Wyoming LLC
- Powell Valley Hospital
- Billings Clinic Hospital
- Cody Regional Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.54 of 100
- Quality
- 71.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.79 of 100
- Quality
- 72.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 63.14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100720001020 | WY | Practitioner - Family Practice | 3971689761 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5478A | WY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powell Valley Health Care Inc | Current |
Accepting new patients | |
| Powell Valley Healthcare Inc | Family Medicine | Current |
Accepting new patients |
Locations
450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267
777 Avenue H
Powell, WY 82435
Phone (307) 754-1175
Interoperability endpoints
- mbohlman@powellvalleyhealthcare.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5478A | WY | Yes |
Addresses
Primary practice location
450 Mountain View St
Powell, WY 82435-2212
Mailing address
449 Mountain View St
Powell, WY 82435-2232
Phone (307) 754-4559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0106639 | Other | MT | MT MEDICAID |
| 306685 | Other | WY | BLUE CROSS BLUE SHIELD |
Other providers in Powell, WY
- Jason Lee Bischoff
- Sharae Liana Bischoff
- Cathy A Blanchard
- McKenzie Ann Blare
- Cynthia Ann Blevins
- Jessi R Borcher
- Kaley Brandt
- Mae Braun
- Dustin Brink
- Jan Jensen Brinkerhoff
All providers in Powell, WY · Family Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.